Larsson Johanna, Nyborg Lisa, Psouni Elia
Department of Psychology, Lund University, 221 00 Lund, Sweden.
Children (Basel). 2022 Nov 5;9(11):1695. doi: 10.3390/children9111695.
Preterm infants are at high risk of developmental disability/delay and are more dependent on their caregiving environment for regulation due to their neurological immaturity. A premature birth is also a major stressor to the family system that constitutes the infant's caregiving environment. The following systematic review investigates whether families with preterm children differ from families with full-term children in their interactions, and what impact the quality of family interaction has on child development. Using the Cochrane model, we conducted a systematic review of quantitative studies published in psycINFO, socINDEX, and PubMed, concerning family quality in triadic interactions in families with premature infants and children, and at least one child development outcome variable. The quality of these studies was assessed using the Newcastle-Ottawa scale assessment form for cohort studies (NOS). Eleven studies were included in the review. Quality of family interactions is either equal to or poorer in families with preterm children, compared with families with full-term children. Importantly, the link between quality of family interactions and child development outcome is stronger in preterm children compared with full-term children, regarding both positive and negative influence. Our results highlight the importance of strengthening family interactions in order to promote development in preterm children. Notably, this review provides the first systematic overview of family function and the quality of triadic interactions in preterm families. The limited number of studies with a family-system focus makes it difficult for us to draw any definitive conclusions, while underscoring the need for more observational studies, particularly post-infancy, to be able to identify specific aspects of family interactions that may be critical for preterm child development.
由于神经发育不成熟，早产儿面临发育障碍/延迟的高风险，并且在调节方面更依赖其养育环境。早产对构成婴儿养育环境的家庭系统来说也是一个主要压力源。以下系统综述调查了有早产儿童的家庭与有足月产儿童的家庭在互动方面是否存在差异，以及家庭互动质量对儿童发育有何影响。我们使用Cochrane模型，对发表在PsycINFO、SocINDEX和PubMed上的定量研究进行了系统综述，这些研究涉及有早产儿和儿童的家庭中三元互动的家庭质量以及至少一个儿童发育结果变量。使用队列研究的纽卡斯尔 - 渥太华量表评估表（NOS）对这些研究的质量进行评估。该综述纳入了11项研究。与有足月产儿童的家庭相比，有早产儿童的家庭中家庭互动质量要么相等，要么更差。重要的是，就积极和消极影响而言，与足月产儿童相比，早产儿童家庭中家庭互动质量与儿童发育结果之间的联系更强。我们的结果强调了加强家庭互动以促进早产儿童发育的重要性。值得注意的是，本综述首次对早产家庭的家庭功能和三元互动质量进行了系统概述。由于以家庭系统为重点的研究数量有限，我们难以得出任何明确的结论，同时也强调需要更多的观察性研究，特别是婴儿期后的研究，以便能够确定家庭互动中可能对早产儿童发育至关重要的具体方面。
