Yamaoka Noriko, Takada Satoshi
Graduate School of Health Sciences, Kobe University, 10-7-2 Tomogaoka, Suma-ku, Kobe, 654-0142, Japan.
Correspondence Course of Nursing, Kobe Tokiwa University, 2-6-2 Otani-cho, Nagata-ku, Kobe, 653-0838, Japan.
Kobe J Med Sci. 2016 Oct 18;62(4):E89-E98.
The purpose of this study was to clarify the developmental characteristics of joint attention in very low birth weight (VLBW) infants with a low risk of complications. Section B of the Checklist for Autism in Toddlers (CHAT) was administered to 31 VLBW and 45 normal birth weight (NBW) infants aged 18-22 months, while the sessions were recorded with a video camera. A semi-structured observation scale was developed to assess infants' joint attention from the video footage, and was shown to be reliable. VLBW, compared to NBW, infants showed significantly poorer skills in 2 of 4 items on responding to joint attention, and in 6 of 10 items on initiating joint attention. VLBW infants need more clues in order to produce joint attention. The difficulty was attributed to insufficient verbal and fine motor function skills. Continuous follow-up evaluation is essential for both high-risk and low-risk VLBW infants and their parents.
本研究的目的是阐明并发症风险较低的极低出生体重（VLBW）婴儿联合注意的发展特征。对31名18 - 22个月大的极低出生体重婴儿和45名正常出生体重（NBW）婴儿进行了幼儿自闭症检查表（CHAT）的B部分测试，同时用摄像机记录测试过程。开发了一种半结构化观察量表，用于从视频片段中评估婴儿的联合注意，并证明该量表具有可靠性。与正常出生体重婴儿相比，极低出生体重婴儿在回应联合注意的4项中的2项以及发起联合注意的10项中的6项上表现明显较差。极低出生体重婴儿需要更多线索才能产生联合注意。这种困难归因于语言和精细运动功能技能不足。对高风险和低风险的极低出生体重婴儿及其父母进行持续的随访评估至关重要。
