You Jia, Yang Hong-Juan, Hao Mei-Chen, Zheng Jing-Jing
Early Child Development Center, Xi'an Maternal and Child Health Care Hospital, Xi'an, China.
Front Psychiatry. 2019 Feb 20;10:69. doi: 10.3389/fpsyt.2019.00069. eCollection 2019.
The aim of this study was to compare the social competence, motor development, and cognition of late preterm infants (LPIs) with full-term infants. Several studies in the recent past indicated that LPIs are at high risk of social development problems. We compared the development of motor skills, cognition, and social competency of LPIs with full-term infants at between 2 and 2.5 years old. The Chinese versions of the Gesell Development Diagnosis scale and the Normal Development of Social Skills from Infants to Junior High School Children scale were used for the assessment. LPIs were not more socially competent than their full-term counterparts. Each skill-namely, adaptability, gross motor, fine motor, language, and personal-social responses-was separately associated with the total level of social skills. It was found that gross motor skills had a positive correlation with the self-help and locomotive abilities, and fine motor skills had a positive association with locomotion abilities. LPIs had risk factors due to their delayed social skills in areas including motor disorders and physiological and perinatal factors. LPIs under three were at a higher risk of impairment in social competency. Therefore, it is recommended that they be monitored regularly to identify the development of social and cognitive disorders at an early stage.
本研究的目的是比较晚期早产儿(LPI)与足月儿的社会能力、运动发育和认知能力。最近的几项研究表明,晚期早产儿存在社会发展问题的高风险。我们比较了2至2.5岁的晚期早产儿与足月儿的运动技能、认知和社会能力发展情况。评估使用了中文版的格塞尔发育诊断量表和从婴儿到初中生的社会技能正常发展量表。晚期早产儿在社会能力方面并不比足月儿更强。每项技能,即适应性、大运动、精细运动、语言和个人社会反应,都分别与社会技能的总体水平相关。研究发现,大运动技能与自助和 locomotive 能力呈正相关,精细运动技能与 locomotion 能力呈正相关。晚期早产儿由于在包括运动障碍以及生理和围产期因素等方面的社会技能延迟而存在风险因素。三岁以下的晚期早产儿在社会能力受损方面风险更高。因此,建议对他们进行定期监测,以便在早期阶段识别社会和认知障碍的发展情况。