Victorian Infant Brain Study, Murdoch Childrens Research Institute, Melbourne, Victoria, Australia; University of Melbourne, Melbourne, Victoria, Australia; The Royal Women's Hospital, Melbourne, Victoria, Australia.
Early Hum Dev. 2013 Dec;89(12):1075-80. doi: 10.1016/j.earlhumdev.2013.07.027. Epub 2013 Aug 24.
Very preterm (VPT) children have different sensory profiles than term-born controls, but how the sensory profiles in VPT children relate to development has not been reported.
The aim of this study was to examine the relationship between VPT infant sensory profiles and concurrent developmental outcomes at 2 years' corrected age.
Cohort study.
243 children <30 weeks' gestation.
Primary caregivers completed the Infant/Toddler Sensory Profile Questionnaire to obtain information on sensory processing at 2 years of age. Independent observers assessed the child's neurodevelopment with either the Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI) of the Bayley Scales of Infant Development version 2 (Bayley 2) or the Cognition, Language and Motor Composites of the Bayley Scales of Infant and Toddler Development version 3 (Bayley 3).
A stronger Low Registration pattern correlated with lower MDI and PDI scores and a stronger Sensation Avoiding pattern correlated with a lower PDI score. A stronger Low Registration pattern correlated with a lower Language Composite score. More frequent visual and oral sensory processing behaviours were associated with higher performance on the MDI and PDI, with more frequent auditory sensory processing behaviours also associated with higher PDI scores. More frequent auditory, touch and oral sensory processing behaviours were associated with improved outcomes on the Language Composite and more frequent auditory, touch and vestibular processing behaviours correlated with improved outcomes on the Cognition Composite. A secondary analysis using a computed MDI score derived from the Bayley 3 scores did not substantially alter any conclusions.
CONCLUSION(S): Different sensory profile patterns obtained from parental reports of VPT children are associated with various aspects of neurodevelopment at 2 years of age, obtained from independent assessment.
极早产儿（VPT）儿童的感觉特征与足月出生的对照组不同，但 VPT 儿童的感觉特征与发育的关系尚未报道。
本研究旨在探讨 VPT 婴儿感觉特征与 2 年校正年龄时发育的关系。
队列研究。
<30 周妊娠的 243 名儿童。
主要照顾者在 2 岁时完成了《婴儿/幼儿感觉统合问卷》，以获得感觉处理信息。独立观察者使用贝利婴幼儿发育量表第 2 版（Bayley 2）的精神发育指数（MDI）和运动发育指数（PDI）或贝利婴幼儿发育量表第 3 版（Bayley 3）的认知、语言和运动综合指数评估儿童的神经发育。
较强的低注册模式与较低的 MDI 和 PDI 评分相关，较强的感觉回避模式与较低的 PDI 评分相关。较强的低注册模式与较低的语言综合评分相关。更频繁的视觉和口腔感觉处理行为与 MDI 和 PDI 评分较高相关，更频繁的听觉感觉处理行为也与较高的 PDI 评分相关。更频繁的听觉、触觉和口腔感觉处理行为与语言综合评分的改善相关，更频繁的听觉、触觉和前庭感觉处理行为与认知综合评分的改善相关。使用 Bayley 3 评分得出的计算 MDI 评分的二次分析并未改变任何结论。
从父母报告中获得的 VPT 儿童的不同感觉特征模式与 2 岁时的神经发育的各个方面相关，这些方面是通过独立评估获得的。
