Moore Melisa, Gerry Taylor H, Klein Nancy, Minich Nori, Hack Maureen
Department of Psychology, Case Western Reserve University, USA.
J Pediatr Psychol. 2006 Nov-Dec;31(10):1024-35. doi: 10.1093/jpepsy/jsj075. Epub 2005 Sep 8.
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.
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.
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.
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.
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。
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。
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。
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。