Msall Michael E, Park Jennifer J
University of Chicago, Pritzker School of Medicine, Kennedy Center on Neurodevelopmental Disability, Institute of Molecular Pediatric Sciences, Chicago, IL 60637, USA.
Semin Perinatol. 2008 Feb;32(1):42-50. doi: 10.1053/j.semperi.2007.12.006.
Advances in obstetrics and neonatology have increased the survival rates of premature infants with very preterm (<32 weeks) and extremely preterm (<28 weeks) gestations. However, survivors have a high frequency of challenges in academic and social skills. There has been an increased emphasis on examination of outcomes beyond survival rates and rates of neurosensory disabilities at ages 18 to 24 months (eg, cerebral palsy, blindness, deafness, global development delay). One of the key strategies for understanding pathways of risk and resilience is to examine behavioral, social-emotional, and adaptive competencies. The purpose of this paper is to apply the International Classification of Functioning framework to a spectrum of behavioral outcomes after extreme prematurity, describe useful tools for measuring behavioral, social, and adaptive competencies, as well as review model outcome studies before middle childhood. Thus, we can use current information to begin to understand pathways underlying behavioral health, well-being, and social competence.
产科和新生儿学的进展提高了孕周极短（<32周）和极早早产（<28周）的早产儿的存活率。然而，存活下来的早产儿在学业和社交技能方面面临挑战的频率很高。人们越来越重视对18至24个月时存活率和神经感觉残疾率以外的结果进行检查（例如，脑瘫、失明、失聪、全面发育迟缓）。理解风险和恢复力途径的关键策略之一是检查行为、社会情感和适应能力。本文的目的是将国际功能分类框架应用于极早早产后一系列行为结果，描述用于测量行为、社会和适应能力的有用工具，并回顾童年中期之前的模型结果研究。因此，我们可以利用当前信息开始了解行为健康、幸福和社会能力背后的途径。
