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极低出生体重儿家庭结局的纵向变化

Longitudinal changes in family outcomes of very low birth weight.

作者信息

Moore Melisa, Gerry Taylor H, Klein Nancy, Minich Nori, Hack Maureen

机构信息

Department of Psychology, Case Western Reserve University, USA.

出版信息

J Pediatr Psychol. 2006 Nov-Dec;31(10):1024-35. doi: 10.1093/jpepsy/jsj075. Epub 2005 Sep 8.

DOI:10.1093/jpepsy/jsj075
PMID:16150877
Abstract

OBJECTIVES

Although children with very low birth weight (VLBW, <1500 g) are at high risk for developmental impairments, we know little about the long-term effects of VLBW on families. This study examined long-term family outcomes and their stability over time.

METHODS

Participants were the families of 64 children with <750 g birth weight, 54 with 750-1499 g birth weight, and 66 term-born controls. Family burden and parental distress were assessed annually as part of longitudinal follow-up of the children from mean ages 11-14 years.

RESULTS

Family burden and parental distress were higher in the <750 g group than in the term-born group, but differences varied with the child's age and family environment.

CONCLUSIONS

The findings document long-term effects of VLBW on families that are moderated by the degree of low birth weight, child's age, and family environment.

摘要

目的

尽管极低出生体重儿(VLBW,<1500克)发育受损风险很高,但我们对极低出生体重对家庭的长期影响知之甚少。本研究调查了长期的家庭结局及其随时间的稳定性。

方法

参与者为64名出生体重<750克儿童、54名出生体重750 - 1499克儿童以及66名足月儿对照组的家庭。作为对这些儿童从平均年龄11至14岁进行纵向随访的一部分,每年评估家庭负担和父母的困扰程度。

结果

出生体重<750克组的家庭负担和父母困扰程度高于足月儿组,但差异随儿童年龄和家庭环境而有所不同。

结论

研究结果证明了极低出生体重对家庭的长期影响,这种影响受出生体重程度、儿童年龄和家庭环境的调节。

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