首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 15 毫秒
1.

Objective

Authors propose clinical research data about psychic functioning of adolescent siblings of children with autism. Literature review shows that the main purpose is about adolescent development with atypical environment.

Methods

Clinical scales and personality tests give information about self-esteem, anxiety, self-image, narcissism, body image. Samples comparisons, clinical group of adolescent of siblings versus control group of typical adolescent. Statistic method and clinical analyses are given to discuss clinical data.

Results

Self-image is perturbed but adaptative functioning is generally observed in the clinical group. A real psychic suffer exists for adolescents of siblings that can be described by means of three process screening self-image, nevertheless it does not clearly appear during childhood and adolescenthood.  相似文献   

2.

Objective

The objective of this research is to identify the psychological processes underlying the phenomenon of school demobilization and highlight the protective factors of dropping out, with particular attention to the impact of self-esteem of adolescents.

Methods

We proceeded to the award and the statistical validation of two scales (self-esteem and school mobilization) with a sample of 405 college students for the testing of our hypothesis, with linear regression analyzes.

Results

The results support the hypothesis that self-esteem has an effect on school mobilization. More self-esteem is high, especially the so socio-emotional and academic self, more school mobilization is strong, suggesting that emotional control but also the assessment that the young because of his academic skills, would manage the process of competition and struggle for social recognition that college students are confronted by the expression of strong mobile on the school and knowledge.

Conclusion

In conclusion, the results of this research suggest that self-esteem is a preventive dimension of demobilization school. They underline the importance of questioning earlier in adolescents, their school mobilization, conceived as a co-construction, by differentiating the dimensions of the report to the school's relation to knowledge and engagement in school work, taking into account their self-esteem.  相似文献   

3.

Background

Adolescence is identified as a critical period for obesity and its complications.

Objective

To evaluate body image, self-esteem, anxiety and depression in obese adolescents.

Methods

Hundred and six obese adolescents benefited from an exploration of body image (Body Prominence, BPQ; Figure Rating Scale, FRS; Questionnaire of Body Preoccupation, QPC), self-esteem (Self-Esteem Scale, SES), anxiety (Revised children Manifest Anxiety Scale, RCMA-S), depression (Center for Epidemiologic studies–Depression Scale, CES-D).

Results

Globally, body image is disturbed. The BPQ shows a level of body consciousness greater in girls. Concerning the choice of the perceived figure, boys position themselves more frequently than girls in plump figures. For wished figures, girls choose more slim figures. However, there is no sex difference concerning body dissatisfaction that is relatively important for both sexes. The QPC indicates that girls have higher body preoccupation level than boys with specific focus on certain body area according to sex. The SES indicates that one out of two adolescents shows a low self-esteem and according to the RCMA-S, one out of three shows a high anxiety level without sex difference. Moreover, from the CES-D, one out of five adolescents, more frequently girls, exhibits a moderate to severe depression.

Conclusion

These results, with a differential interpretation (statistical vs clinical), partly confirm the data from the literature, and underline the need to perform a comprehensive investigation of body image, self-esteem, anxiety and depression in obese adolescents. In order to optimize the quality of the management provided to these youths, we proposed to physicians a pragmatic guide as “the somato-psychic pyramid”. It is important to remind that while escaping from the rule of the body fat regulation, obese adolescents may demonstrate a transgression and an adaptative marginalization.  相似文献   

4.

Background

The SociaBillyQuizz is a therapeutic game designed for social skills training groups with children and adolescents. Using an entertaining method, this media requests several dimensions: exposure, cognition, communication skills, imagination, emotional expression and sign decoding. In this preliminary study, the setting includes two groups of six adolescents, one with social anxiety disorder and the other with Asperger syndrome.

Objective

To evaluate, in an exploratory study, the effects of a therapeutic device involving this game for these two clinically different groups of adolescents.

Methods

During 26 of 1 hour weekly sessions, two adolescents groups participate to a program including the SociaBillyQuizz and cognitive behavioral therapies. The groups are moderated by two therapists. The SociaBillyQuizz is a board game for two to six players; its goal is to collect points by answering instructions from the different thematic cards. There are four thematic cards: action cards (players have to do something), brainstorming cards (players have to use their imagination and demonstrate cognitive flexibility), interview cards (players have to express themselves about what they think or feel) and mystery cards (unexpected instructions). According to the groups’ clinical characteristics, some aims are specifically highlighted. In the anxiety disorder group, the cognitive dimension is privileged and in the Asperger syndrome group, we emphasise the pretend, cognitive flexibility and theory of mind. The effects are measured by the Rathus Assertiveness Schedule and the Fear Avoidance Hierarchy (FAH) for the social anxiety disorder group and by the Faux Pas Recognition Test and the Social Responsiveness Scale (parent version) for the Asperger group.

Results

These assessment tools indicate, for both groups, a significant increase of the scores corroborating the observed clinical effects. For eleven of the twelve adolescents, a clinical interview 6 months after the retest shows a continuity of therapeutic benefit.

Discussion

These early results suggest that a social skills training device featuring the SociaBillyQuizz produces clinical improvements in these two groups of adolescents. In future researches, with control group and more complete follow-up, nature and effectiveness of its contribution should be specified.

Conclusion

In this preliminary study, the SociaBillyQuizz appears to be an interesting therapeutic tool that can increase implication, motivation, participation and cohesiveness of the group. It also makes easier the cognitive-behavioural-strategies learning.  相似文献   

5.

Background

Sensory and emotional disorders are typical in autism spectrum and were analyzed by psychological, neuropsychological and psychodynamic models of interpretation. Our theoretical analysis revealed that sensory-based solicitation of the autistic patients with intellectual disabilities could allow the revival of the intersubjectivity development. Therefore, the emergence of a relational and communicative dynamic. We conceptualized an approach of psychotherapy with sensory mediation intended to formulate therapeutic proposals for remediation of relationship and communication disorders.

Objectives

In this study, we aim: to present our care devices and method and their application within the framework of a developmental, clinical and experimental research program; to report the main results obtained with five patients as a clinical illustration.

Method

During 18 months, we exposed five patients to individual weekly sessions of psychotherapy with sensory mediation. Our experimental group, constituted of three children presenting severe intellectual disability associated with autistic disorders. It was compared to a control group with two children showing the similar level of intellectual deficiency but without autistic disorders. Quantitative (i.e. statistical) and qualitative analyses of the therapeutic effects were performed in the following domains: sensory integration, social interaction, communication, stereotypies, “positive” behaviors and “negative” behaviors.

Results

The specificity of the sensory profile of children with autistic disorders was shown. Moreover, we calculated a Sensory Integration Index allowing observation of the improvement of the autistic children's sensory integration capacity along the continuous care. Both groups increased significantly their investment of the plurimodal stimulations (i.e. associated proximal and distal stimulations). In parallel, the psychotherapy sessions allowed an increased level of social interaction and communicative skills for both groups. Furthermore, the number of stereotypies decreased for the autistic children in the course of care.  相似文献   

6.

Introduction and objectives

Due to the high frequency and co-occurrence of vulnerabilities, mothers under 20 years are at higher risk of perinatal depression than adults mothers. We performed a review of the literature investigating the epidemiology of adolescents mothers’ depression, compared these data to adult mothers and listed associated factors, to develop a more preventive approach and specific follow-up.

Methods

The review is based on Pubmed and Sciencedirect research combining “adolescent” or “teenage” and “depression” as keywords.

Results

Seventeen international studies were included, evaluating both prenatal (6 studies) and postnatal (14 studies) depression with three different scales (CES-D, BDI, EPDS). Depression rate in adolescents mothers varies from 26 to 63% in the third trimester of pregnancy and from 26 to 61% in the first 3 months postpartum, with differences depending of studies designs, screening instruments and cut-offs. Depression rate declines with time, but still persists with a prevalence ranging from 21 to 32% at 4 to 5 years after delivery. Depression rate in adolescent mothers are globally twice higher than in adult mothers, both in prenatal and postnatal periods. Characteristics associated with adolescent mothers depression include sociodemographic factors (less education, low income), psychosocial factors (confidence, self-esteem), poor or inadequate social support and negative life events (violence exposure, history of abuse).

Conclusion

Perinatal depression in adolescent mothers is very high and can contribute negatively to child-mother interaction. It should be a priority to screen depression early during pregnancy and to offer appropriate support services during the first years of motherhood. Moreover, it could be of high interest to assess maternofoetal attachment during pregnancy using validated instruments combined with depression scales.  相似文献   

7.

Background

Child welfare literature underlines a higher prevalence of health problems and psychiatric disabilities in fostered young people than in the general population. Questions remain about their social integration and health in the long term: Which risk factors continue to alter their pathway? Which protective factors have minimized a problematic psychosocial adaptation over time?

Purpose

A follow-up study in the past was conducted on a SOS children's village on 123 young people who had been reared for more than 3 years and left care after the age of 14. A survey was mailed to these adults aged 23–50 years old, followed by face-to-face interviews. All relevant institutional files were analysed. Attrition rates were very low in this high-risk population. An overall score of social integration aggregates data regarding: occupational situation, family life, relationships, general psychosocial state. Health-related quality of life (Duke Profile) was analyzed by means of multiple dimensions including mental and social health, self-esteem, depression and disability. Multivariate analyses by logistic regression were used to examine the specific roles of decisive factors on social integration.

Key findings

At a mean age of 36.5 years, two thirds were well integrated socio-economically, only one out of five had psychosocial problems. Three factors increased the risk of poor socioeconomic integration: accumulation of parental risk factors, having been placed with two or more siblings’ groups and persisting mental health problems when leaving care. The quality of life was significantly associated with a better perception of social and mental health and with self-esteem. It varied positively, taken into account with professional integration, relationships and supportive environment, and negatively according to past adversities: parental domestic violence, maltreatment, and persisting mental health problems. Except from disabilities and to a lesser degree sociability, globally, these former fostered population did not seem different from counterparts in terms of health measures, anxiety and depression.

Implications

Results highlight the importance of continuity and stability in placement. For the professionals, it is necessary to give more attention to the question of rearing together several groups of siblings. Persisting mental health problems during placement and when leaving care would suggest a vital need for the staff to identify and to implement intensive, appropriate therapeutic care.  相似文献   

8.

Objective

From a data collection conducted among junior high-school students, we propose to assess global and physical self-esteem. Indeed, profound physical changes, psychological and social affect this phase of development of the person and the object of this article is to clarify what are the potential impacts of these changes on self-esteem as a function of age and gender.

Methods

Five hundred and seventy-nine junior high-school students of the Midi-Pyrenees region, aged 11 to 17 years (M = 13.34, SD = 1.20) have informed the Rosenberg self-esteem scale (1965) and the physical self-inventory (Ninot, Delignières and Fortes, 2000).

Results

The reliability of both tools is confirmed from our study sample. The results allow to update significant differences in global and physical self-esteem according to the age and gender of the adolescents.

Conclusion

The discussion focuses on the interpretation of gender differences in the assessment of global self-esteem and physical interpretation of the differences in the development of the person.  相似文献   

9.

Introduction

This article focuses on groupal traumatic experiences of children during natural disasters in Haiti. The group played a very important role for psychic survival of these children and even allowed them to dream a future. The objective of this study is to identify the functions of the group that helped a therapeutic effect for children.

Method

The study focused on a sample of 217 children and adolescents aged 6–18 years, encountered in schools and churches in different cities who were severely affected by the earthquake of 12 January 2010. In focus groups set up, the children were invited to discuss their families and events in their lives.

Results

The research results show that the work of the group mobilizes groups within each participant by providing a space where the container can put into words. The group offers a bracing and a space where the process of subjectivation and symbolization can be put in place.

Discussion

We have shown how the group welcomes trauma, how intersubjective links that are established mobilize intrapsychic scene and how the game is installed, allows figurability conflict and paves the way to a narrative. It is therefore important to maintain these discussion groups essential to allow subjects to enroll in continuity and historicity needed to pick up the thread of their stories.  相似文献   

10.

Aim

This study is a component of the “French Autism Plan 2008–2010”. Its objective is to describe intervention and care practices proposed to people with pervasive developmental disorders (PDD) in three French regions (Île-de-France, Franche-Comté, Nord-Pas-de-Calais).

Method

Data were collected by a questionnaire adapted mailed to special education and health care services in three regions (quantitative data) and semi-structured interviews from a sample of professionals (qualitative data). A total of 254 questionnaires (163 from services for children and adolescents, 91 from services for adults) and 48 interviews (21 for children and adolescents, 27 for adults) were analyzed.

Results

Intervention and care practices described often lack of specificity and are not enough adapted to people with PDD, particularly in adults’ services. An improvement of practices is nevertheless evidenced, with the development of interventions centered on the development of communication or daily living skills and procedures to manage challenging behaviors, yet not generalized. Important efforts are made regarding training and partnership with ordinary settings. Professionals also wish to better take into account the person's and his family's point of view in the individualized program.

Conclusion

This study emphasizes lacks and improvement in intervention and care practices for people with PDD in France, and those data might be a useful basis to study the practices’ evolution in the future.  相似文献   

11.

Background

Children with sensorineural hearing loss have a high rate of additional disabilities beyond those expected by the impact of hearing loss on language and are identified later than children without hearing loss. Identifying these developmental delays and allowing earlier implementation of interventions specific to these concerns would improve care.

Aims

To determine whether the Ages and Stages Questionnaire© (ASQ) can identify unmet needs or unidentified developmental delays among young children with bilateral sensorineural hearing loss.

Subjects

Fifty children with any degree of bilateral sensorineural hearing loss, 6 months to 36 months of age recruited from a tertiary referral center and regional early intervention programs for children who are deaf/hard of hearing.

Outcome measures

The ASQ and comprehensive developmental evaluations with the Revised Gesell Developmental Schedules.

Study design

Sensitivities and specificities of the ASQ were calculated.

Results

While 32% of our population had a developmental delay outside the domain of communication, the ASQ had poor sensitivity on the overall score without the communication domain as well as for fine motor, cognitive, personal–social domains. It had good sensitivity for the domains of communication and gross motor skills and good specificity (ranging 83–85%) on specific domains as well as for the overall score (70%).

Conclusions

The ASQ does not provide an effective mean for identifying additional developmental concerns in young children with bilateral sensorineural hearing loss. Further studies are needed to determine how to identify additional disabilities in a timely manner among young children with hearing loss.  相似文献   

12.

Aim of the study

The aim of the study was to analyze the relating contribution of personality dimensions referring to Cloninger's model and emotional awareness to depressive symptoms intensity, in a community sample of adolescents. Our purpose was also to investigate the mediating role of the emotional awareness on the personality-depression relationship.

Method

A sample of 372 school students completed the following questionnaires: the Tridimensional Personality Questionnaire (TPQ), the Level of Emotional Awareness Scale (LEAS), and the Center for Epidemiologic Studies Depression Scale (CES-D).

Results

Correlationnal and multiple hierarchical regressions analysis confirmed the existence of direct links between each personality dimensions and depression, and the partial mediating effect of emotional awareness, but only for the novelty seeking and the harm avoidance dimensions.

Conclusion

Our results confirm the relationships observed in previous research between emotion awareness and depression on one hand, and between personality and depression on the other hand. They highlight the major role played by personality and emotional processing in the vulnerability to present depressive symptoms. The importance of taking in account and assess the emotional processing in the adolescent's depression clinical support is discussed.  相似文献   

13.

Background

More information is needed on ‘low-risk’ preterm infants' neurological outcome so that they can be included in follow-up programs at least until school age.

Objective

To examine the neuropsychological outcome in a group of low-risk low birth weight (LBW) children without neurological impairment followed from birth to 5 years of age.

Patients

26 intellectually normal children born preterm (30–34 weeks gestation) without major neurological disabilities and 23 control children born at term and matched for age, sex, and parental educational and occupational status.

Methods

Subjects already evaluated at 3 years of age underwent assessment again at 5 years using as neuropsychological outcome measures a wide range of tests including perceptual and visual–motor function, language comprehension and expression, and attention skills.

Results

When tested at 5 years, children born preterm still obtained significantly lower mean scores than controls on visual motor integration test (57 vs 64, p = 0.01), visual perception test (41 vs 43, p = 0.002) and a trend toward a lower score in the picture vocabulary test (81 vs 85.5, p = 0.07). The group of premature infants and controls improved their performance over time in the neuropsychological abilities investigated and, in some skills such as visual perception. Children born preterm took longer than those born at term to reach similar performance levels, 5 versus 3 years.

Conclusion

Ex low-risk children born preterm achieve lower scores over time in visual–motor and perceptual ability scales and in some language tests than children born at term. Like high-risk premature infants even those at low risk deserve regular follow-up with long-term programs.  相似文献   

14.

Background

The Infant Behavioral Assessment and Intervention Program (IBAIP©) improved motor function at 24 months, and mental and behavioural development in high risk subgroups of very low birth weight (VLBW) infants.

Aim

To determine IBAIP's effects on executive functioning, behaviour and cognition at preschool age.

Study design

Follow-up of a randomised controlled trial (RCT).

Subjects

At 44 months corrected age, all 176 VLBW infants were invited for follow-up. Forty-one term born children were assessed for comparison.

Outcome measures

Visual Attention Task (VAT), Gift delay, Peabody Picture Vocabulary Test III-NL (PPVT), Visual motor integration tests and Miller assessment for preschoolers. Parents completed Behavior Rating Inventory of Executive Function-Preschool (BRIEF-P) and Child Behavior Checklist (CBCL).

Results

At preschool age, 76 (88%) children of the intervention group and 75 (83%) children of the control group participated. There were no significant differences between the intervention and the control group. However, positive interaction effects between intervention and infants with bronchopulmonary dysplasia, infants born at gestational age < 28 weeks, and infants of low educated mothers were found on CBCL, CBCL and BRIEF-P, and PPVT respectively. Most interaction effects exceeded 1 standard deviation in favour of the intervention children. The 151 VLBW children performed significantly worse than the term born children on the VAT, BRIEF-P and CBCL.

Conclusion

IBAIP effects in VLBW children did not sustain until preschool age on executive functioning, behaviour and cognition. However, the most vulnerable children had a clinical relevant profit from IBAIP. VLBW children performed worse than the term born children.This study is a follow-up at preschool age of the multi-centre RCT of IBAIP versus usual care in VLBW infants. The RCT was performed in Amsterdam, The Netherlands (IBAIP RCT registered on http://www.controlled-trials.com number ISRCTN65503576).  相似文献   

15.

Background and study aim

Recent previous studies have highlighted the existence of burnout among high-school students. Burnout among high-school students has been described as a continuum between academic stress and severe burnout. Moreover, as for adults, burnout in school context is a three-dimensional concept that includes: exhausting concerning school demands, cynical attitudes towards school and sense of inadequacy as a student (Salmela-Aro et al., 2009). Previous research has shown that burnout can engender depression (Salmela-Aro et al., 2009), and that, depression in turn could lead to suicide ideas among adolescents (Garlow et al., 2008). Therefore, the aim of this study is to explore the determinisms of burnout among French high-school students and to evaluate the mediator effect of depression between burnout and suicidal ideations.

Method

Two hundred and fifty-six high-school students from 11th and 12th grades participated in this study. Among the participants, 135 were boys and 117 were girls, mean age was 16.9 years (SD = 0.88). The participants completed questionnaires about depression, suicidal ideations, burnout, academic stress, perceived pressure and perfectionism.

Results

Regression analyzes were performed in order to determine the predictor variables of school burnout. The results indicates that burnout was predicted by academic stress, perceived pressure provided by parents and provided by peers; perfectionism however appears as a protective factor. In a second step mediation analyses using multiple regressions were performed. As expected, depression was a mediator between burnout and suicidal ideations. Since burnout was a significant predictor of depression and of suicide ideas, when depression and burnout are both associated, depression is the principal predictor (β = 0.64; t = 11, P < 0.0001) and burnout is no longer a significant predictor (β = –0.09; t = –1.6; P = 0.11). The Sobel post-hoc test confirmed these results (z = 8.4, P < 0.0001).

Conclusion

Therefore it seems important to take into account academic stress and burnout for prevention of suicidality in adolescents. Psychotherapy interventions, focused on problem solving or improving feelings of self-efficacy, may be interesting to explore.  相似文献   

16.

Background

The medical program of the JET (jardin d’enfants thérapeutique or Therapeutic Kindergarten) located in the University Hospital of Saint-Étienne offers early care to children suffering from pervasive development disorders, aged from three to six until they reach the age of a specialized orientation (medico-educational institute, class for scholar inclusion) in sector-specific healthcare structures. This institutional and multidisciplinary medical care is part of a varied and sometimes controversial healthcare supply, leaving professional caregivers in a state of uncertainty.

Objective

The aim of this work was to evaluate how parents experienced early care and which therapeutic path they chose.

Method

A qualitative study was lead from June 2011 to April 2012 on a judgmental sample of 15 families of children presenting a pervasive development disorder amongst the 91 who attended the JET between 1994 and 2010.

Results

The arrival at the JET was described by parents as a scary experience: affected by the recent confirmation of their child's disorder diagnosis, and also by family and social isolation (at the moment of the admission of the child), they were entering an unknown place-receiving children with heterogeneous symptomatology. Trust in the JET was usually established quickly, thanks to an area unanimously referred to as « safe and protective ». Other resorts were described in the different fields of healthcare (biomedical, popular or traditional) more or less initiated and controlled by the institution or, on the contrary, completely alternative or occult. All together, they helped families to build hybrid knowledge of « expert-parents ». A feeling of abandon was often observed when the children left the JET since the handover is constrained by a lack of medico-social services and because of the low engagement of professional resources within liberal practitioners.

Perspective

A networking organization between primary care and hospital could help homogenize resorts and extend support.  相似文献   

17.
18.

Background

Children and adolescents involved with foster care are a population at high risk of developing psychiatric disorders and poor language skills. Here, we aimed to assess in children and adolescents admitted in a university department of child and adolescent psychiatry whether being involved with foster care would change oral and written language impairments they face.

Method

We conducted a case-control study in a sample of 104 inpatients aged six to 18 years (50 supported by foster care; 54 not supported). Assessment included family and medical histories, axis 1 diagnoses and a systematic screening of written abilities using the French version of the 1-minute reading test, a spelling task and two tasks of sentence comprehension. For subjects showing at least one score below two standard deviations at one screening task, a full language assessment was performed including tasks for oral language, phonological skills, word identification, naming speed, syntax and comprehension.

Results

We found more language impairments in inpatients involved with foster care than controls. They had lower scores in complex language comprehension tasks, more impaired phonological skills, and more fragile word identification strategies (both the grapho-phonologic conversion and the assembling strategy). We found a significant association between language and gender (male), intellectual disability and pervasive developmental disorder. Although externalized disorders were significantly associated with written language impairment, this association was mediated by gender. Finally, children and adolescents involved with foster care were at higher risk not to be treated for a language impairment (odd ratio = 3.5 [95%CI : 1.03–12.05], P = 0.038).

Conclusion

The severity and prevalence of language impairments among youths involved with foster care and requiring psychiatric inpatient stay show the impact of learning disabilities in this population. In terms of prevention, assessment of language skills should be promoted in this population as they appear to be at risk of not receiving proper speech or reading remediation.  相似文献   

19.

Introduction

Attention deficit-hyperactivity disorder (ADHD) is a problem of public health because of its frequency and impact. The objective of our work was to study the prevalence of ADHD in school population in the region of Sfax.

Population and methods

The study was cross running from 1/4/2008 until 1/10/2008, caring on 513 students, 240 boys and 273 girls. They were enrolled in the first year of teaching basis until 5th year of basic education. Schools were randomly selected from a list provided by the Regional Directorate education in all schools of communal areas in the region of Sfax. The Conners scale of teachers and parents was used as a screening tool. Children who had at least one pathological test have benefited clinical evaluation with their parents. The diagnoses were according to DSM-IV-TR.

Results

The award of the Conners scale has identified 404 students for high scores were normal in the two versions of the scale for hyperactivity, impulsiveness and inattention, and 109 students who had a pathological score on at least one of the Conners scales. The interview with the 109 students, allowing clinical evaluation of children with reference to DSM-IV-TR, has enabled us to carry at least one diagnosis nosographic for 92 pupils of whom 51 had ADHD. Of a total of 513 students, 51 students were affected by ADHD DSM-IV. Thus, the prevalence of ADHD in schools in our study was 9.94%. In our study, ADHD was 5.26% in mixed-type cases, inattention prevalent in 2.7% and hyperactivity in impulsive 1.94% cases.  相似文献   

20.

Background

Extremely-low-birth-weight (ELBW) children without severe brain injury or CP are at high risk of developing deficits within cognition, attention, behavior and motor function. Assessing the quality of an infant's spontaneous motor-repertoire included in Prechtl's General-Movement-Assessment (GMA) has been shown to relate to later motor and cognitive functioning in preterm children without CP.

Aims

To investigate functional outcome and cerebral MRI morphometry at 10 years in ELBW children without CP compared to healthy controls and to examine any relationship with the quality of infant-motor-repertoire included in the GMA.

Study design

A cohort-study-design.

Subjects

31 ELBW children (mean birth-weight: 773 g, SD 146, mean gestational age 26.1 weeks, SD 1.8) and 33 term-born, age-matched controls.

Outcome measures

GMA was performed in ELBW children at 3 months corrected age. At 10 years the children underwent comprehensive motor, cognitive, behavioral assessments and cerebral MRI.

Results

The non-CP ELBW children had similar full-IQ but poorer working memory, poorer motor skills, and more attentional and behavioral problems compared to controls. On cerebral MRI reduced volumes of globus pallidus, cerebellar white matter and posterior corpus callosum were found. Cortical surface-area was reduced in temporal, parietal and anterior-medial-frontal areas. Poorer test-results and reduced brain volumes were mainly found in ELBW children with fidgety movements combined with abnormal motor-repertoire in infancy.

Conclusion

Non-CP ELBW children have poorer functional outcomes, reduced brain volumes and cortical surface-area compared with term-born controls at 10 years. ELBW children with abnormal infant motor-repertoire seem to be at increased risk of later functional deficits and brain pathology.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号