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养育方式与感觉阈和行为的关联:一项足月/早产儿的前瞻性队列研究。

Parenting style associations with sensory threshold and behaviour: a prospective cohort study in term/preterm infants.

机构信息

Vanderbilt University Medical Center, Nashville, TN, USA.

Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.

出版信息

Acta Paediatr. 2019 Sep;108(9):1616-1623. doi: 10.1111/apa.14761. Epub 2019 Mar 11.

Abstract

AIM

Early-life atypical sensory functioning and behavioural profiles are often associated with long-term developmental problems, especially in former preterm infants. We tested whether parenting style is associated with atypical sensory threshold or behavioural outcomes in preterm and term infants assessed during early childhood.

METHODS

We prospectively evaluated parenting style for a cohort of term and preterm infants who had previous assessments of sensory development and behaviour. We used standardised tools to evaluate parenting style, sensory neurological threshold at one year, and internalising and externalising behavioural tendencies at two years. Covariates included gestational age, sex and maternal education.

RESULTS

For the entire cohort (n = 82), children of more permissive parents were 2.7 times more likely to demonstrate abnormal sensory neurological thresholds compared to children of parents with less permissive styles (CI: 1.4-4.9). More permissive parenting scores were also associated with 2.4 times increased internalising (CI: 1.3-4.2) and 3.0 times increased externalising (CI: 1.6-5.6) tendencies. In the preterm group only, higher authoritative parenting scores were associated with fewer behavioural problems.

CONCLUSION

Permissive parenting is associated with worse infant sensory and behavioural outcomes. Authoritative parenting is associated with fewer behavioural problems in preterm children. Modification of parenting style may improve sensory development and behavioural outcomes.

摘要

目的

生命早期非典型感觉功能和行为特征常与长期发育问题相关,尤其是在曾为早产儿的儿童中。我们检测了养育方式是否与在幼儿期接受评估的早产儿和足月儿的非典型感觉阈值或行为结果相关。

方法

我们前瞻性地评估了有先前感觉发育和行为评估的足月和早产儿队列的养育方式。我们使用标准化工具评估养育方式、1 岁时的感觉神经阈值,以及 2 岁时的内外向行为倾向。协变量包括胎龄、性别和母亲教育。

结果

对于整个队列(n=82),与养育方式不太宽容的儿童相比,宽容的父母的孩子更有可能表现出异常的感觉神经阈值(CI:1.4-4.9)。更宽容的养育方式评分也与 2.4 倍的内化(CI:1.3-4.2)和 3.0 倍的外化(CI:1.6-5.6)倾向相关。仅在早产儿组中,更高的权威型养育方式评分与较少的行为问题相关。

结论

宽容的养育方式与婴儿的感觉和行为结果较差相关。权威型养育方式与早产儿的行为问题较少相关。养育方式的改变可能会改善感觉发育和行为结果。

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