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关于亲子共读对早产儿影响的叙述性综述。

A narrative review of the effect of parent-child shared reading in preterm infants.

作者信息

Boissel Laure, Guilé Jean-Marc, Viaux-Savelon Sylvie, Mariana Charlotte, Corde Pascal, Wallois Fabrice, Benarous Xavier

机构信息

Department of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, France.

INSERM Unit U1105 Research Group for Analysis of the Multimodal Cerebral Function, University of Picardy Jules Verne, Amiens, France.

出版信息

Front Pediatr. 2022 Sep 12;10:860391. doi: 10.3389/fped.2022.860391. eCollection 2022.

Abstract

The benefits of book-reading interventions on language development in full-term infants have been well investigated. Because children born preterm face a greater risk of cognitive, language and emotional impairments, this narrative review examines the theoretical evidence, empirical findings, and practical challenges for introducing such intervention to this population. The effect of shared book interventions on typically developing infants is mediated by three components: a linguistic aspect (i.e., exposure to enriched linguistic input), an interactive aspect (i.e., eliciting more synchronous and contingent communication), and a parental aspect (i.e., reducing parental stress and increasing sense of control). Parental shared book reading in a neonatal intensive care unit (NICU) was found to be feasible and well accepted. It provides concrete support for positive parenting in a highly stressful context. Preliminary evidence supports a positive effect of shared reading sessions in physiological parameters of preterm infants in NICU. One study showed that parental shared book reading in an NICU is associated with lower decline in language development during the first 24 months compared to a historical control group. Findings from a community-based birth cohort confirm the positive effect of this intervention on cognitive development with a 2-year-follow up. More structured clinical trials are now needed to confirm these preliminary findings. Questions remain about possible moderators of these interventions, in particular cultural features.

摘要

阅读干预对足月儿语言发展的益处已得到充分研究。由于早产儿面临认知、语言和情感障碍的风险更高,本叙述性综述探讨了将此类干预引入该人群的理论证据、实证研究结果及实际挑战。共享阅读干预对正常发育婴儿的影响由三个因素介导:语言方面(即接触丰富的语言输入)、互动方面(即引发更多同步和有条件的交流)以及父母方面(即减轻父母压力并增强控制感)。在新生儿重症监护病房(NICU)进行父母共享阅读被证明是可行且易于接受的。它为在高压力环境下积极育儿提供了具体支持。初步证据支持在NICU中共享阅读对早产儿生理参数有积极影响。一项研究表明,与历史对照组相比,在NICU中进行父母共享阅读与婴儿在出生后头24个月内语言发展的较低下降率相关。一项基于社区的出生队列研究结果证实了这种干预对认知发展的积极影响,并进行了为期两年的随访。现在需要更多结构化的临床试验来证实这些初步发现。关于这些干预措施可能的调节因素,特别是文化特征,仍存在疑问。

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