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母亲的游戏行为是否能调节母亲社会经济地位与早产儿或低出生体重儿 24 个月神经认知发育结局的关系?

Do mothers' play behaviors moderate the associations between socioeconomic status and 24-month neurocognitive outcomes of toddlers born preterm or with low birth weight?

机构信息

Department of Human Development and Family Studies, University of Wisconsin, 1305 Linden Drive, Madison, WI 53706-1523, USA.

出版信息

J Pediatr Psychol. 2011 Apr;36(3):289-300. doi: 10.1093/jpepsy/jsq064. Epub 2010 Jul 23.

Abstract

OBJECTIVE

We examined whether neonatal risks and maternal scaffolding (i.e., task changes and flexibility) during a 16-month post-term play interaction moderated the association between socioeconomic status (SES), visual-spatial processing and emerging working memory assessed at 24 months post-term among 75 toddlers born preterm or low birth weight.

METHOD

SES and neonatal risk data were collected at hospital discharge and mother-child play interactions were observed at 16-month post-term. General cognitive abilities, verbal/nonverbal working memory and visual-spatial processing data were collected at 24 months.

RESULTS

Neonatal risks did not moderate the associations between SES and 24-month outcomes. However, lower mother-initiated task changes were related to better 24-month visual-spatial processing among children living in higher SES homes. Mothers' flexible responses to child initiated task changes similarly moderated the impact of SES on 24-month visual-spatial processing.

CONCLUSION

Our results suggest that mothers' play behaviors differentially relate to child outcomes depending on household SES.

摘要

目的

我们研究了在早产儿或低出生体重儿出生后 16 个月的延长胎龄期玩耍互动中,新生儿风险和母亲支持(即任务变化和灵活性)是否调节了社会经济地位(SES)、视觉空间处理与 24 个月时新兴工作记忆之间的关联。

方法

在出院时收集 SES 和新生儿风险数据,并在延长胎龄期 16 个月时观察母婴玩耍互动。在 24 个月时收集一般认知能力、言语/非言语工作记忆和视觉空间处理数据。

结果

新生儿风险并未调节 SES 与 24 个月结局之间的关联。然而,在 SES 较高的家庭中,母亲较少主动改变任务与儿童 24 个月时更好的视觉空间处理相关。母亲对儿童发起的任务变化的灵活反应同样调节了 SES 对 24 个月时视觉空间处理的影响。

结论

我们的研究结果表明,母亲的游戏行为根据家庭 SES 的不同而与儿童的结果有不同的关系。

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Neurodevelopmental outcomes of infants born prematurely.早产儿的神经发育结局
J Dev Behav Pediatr. 2005 Dec;26(6):427-40. doi: 10.1097/00004703-200512000-00008.

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