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评论:支持早产儿童的父母很重要——对特雷沃德等人(2016年)的反思。

Commentary: Supporting preterm children's parents matters - a reflection on Treyvaud et al. (2016).

作者信息

Jaekel Julia

机构信息

Department of Child and Family Studies, University of Tennessee Knoxville, Knoxville, TN, USA.

Department of Developmental Psychology, Ruhr-University Bochum, Bochum, Germany.

出版信息

J Child Psychol Psychiatry. 2016 Jul;57(7):822-3. doi: 10.1111/jcpp.12525.

Abstract

Children born preterm or with low birth weight (LBW) grow up with an increased risk for a range of neurodevelopmental, cognitive, socioemotional, and academic problems. While long-term effects of preterm and LBW birth have traditionally been studied from a deficit perspective, Treyvaud et al. correctly state that the increased risk for impairments in this population urgently requires identification of protective factors. Their new findings add to empirical evidence from observational studies showing that sensitive parenting can protect preterm children from negative developmental outcomes. In order to identify strategies that support preterm children's life chances, well-designed longitudinal studies, such as the one by Treyvaud et al., are indispensable. Next, we will need large randomized trials to test the causality between intervention-induced parenting changes and preterm children's long-term outcomes. We need interdisciplinary and international collaboration to study preterm parent-child dyads within multimethod frameworks and uncover the highly complex mechanisms that shape individual developmental trajectories.

摘要

早产或低出生体重的儿童在成长过程中面临一系列神经发育、认知、社会情感和学业问题的风险增加。虽然传统上从缺陷角度研究早产和低出生体重的长期影响,但特雷瓦德等人正确地指出,这一人群中功能受损风险的增加迫切需要确定保护因素。他们的新发现补充了观察性研究的实证证据,表明敏感的养育方式可以保护早产儿童免受负面发育结果的影响。为了确定支持早产儿童生活机会的策略,精心设计的纵向研究,如特雷瓦德等人进行的研究,是必不可少的。接下来,我们需要大型随机试验来检验干预引起的养育方式变化与早产儿童长期结果之间的因果关系。我们需要跨学科和国际合作,在多方法框架内研究早产亲子二元组,并揭示塑造个体发育轨迹的高度复杂机制。

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