Shodoshima Central Hospital, Pediatrics, Japan.
Department of Pediatrics, Faculty of Medicine, Kagawa University, Japan.
Brain Dev. 2021 Feb;43(2):186-191. doi: 10.1016/j.braindev.2020.09.002. Epub 2020 Sep 25.
Progress in neonatal medicine has dramatically improved the survival rate of preterm births, but the evidence suggests that these low-birth weight infants (LBWIs) go on to develop pervasive development disorders and attention deficit hyperactivity disorder (ADHD) at greater rates than the general population. Children with neurodevelopmental disorders are known to suffer from deficits in visual cognition, such as in face perception and attentional functions, the characteristics of which already manifest in early infancy.
This study aimed to investigate visual cognition in LBWIs during infancy.
20 LBWIs and 20 normal-birth-weight infants (NBWIs: control) of age 9-10 months (corrected age was used for LBWIs).
Children were held seated in front of an eye tracking system by a parent, and presented with facial photos as visual stimuli. During the familiarization phase, the child was presented with two images of the same human face (familiarization stimulus) on the left and right side of a display screen (5 × 10 s trials). Next, during the test phase, the child was presented with the same image on one side of the screen, and a photo of a different person's face (novel stimulus) on the other (2 × 5 s trials). Gaze behavior was assessed in terms of the total time spent looking at either facial stimulus, and specifically at the eyes of the stimuli, as well as the number of attentional shifts between stimuli, and novelty preference.
RESULTS/DISCUSSION: LBWIs spent significant less time looking at facial stimuli overall, and less time at the eye region, than NBWIs. These findings seem to evidence developmental differences in functions related to visual cognition.
新生儿医学的进步极大地提高了早产儿的存活率,但有证据表明,这些低出生体重儿(LBWIs)比一般人群更容易发展为广泛性发育障碍和注意缺陷多动障碍(ADHD)。已知患有神经发育障碍的儿童在视觉认知方面存在缺陷,例如在面孔感知和注意力功能方面,这些特征在婴儿早期就已经表现出来。
本研究旨在探讨婴儿期 LBWIs 的视觉认知。
20 名 LBWIs 和 20 名正常出生体重儿(NBWIs:对照组),年龄为 9-10 个月(校正年龄用于 LBWIs)。
儿童由家长抱坐在眼动跟踪系统前,用面部照片作为视觉刺激。在熟悉阶段,孩子会在屏幕的左右两侧看到两张相同人脸的照片(熟悉刺激)(5×10 秒试验)。接下来,在测试阶段,孩子会在屏幕的一侧看到相同的图像,而在另一侧看到另一张不同人脸的照片(新颖刺激)(2×5 秒试验)。注视行为的评估包括注视两个刺激物的总时间,特别是注视刺激物的眼睛的时间,以及注视两个刺激物之间的注意力转移次数和对新颖刺激的偏好。
结果/讨论:LBWIs 总体上看面部刺激的时间明显少于 NBWIs,看眼部区域的时间也明显少于 NBWIs。这些发现似乎表明与视觉认知相关的功能存在发育差异。