Cohen S E, Parmelee A H, Beckwith L, Sigman M
J Dev Behav Pediatr. 1986 Apr;7(2):102-10. doi: 10.1097/00004703-198604000-00006.
This report summarizes the outcome at age 8 of a group of preterm infants followed intensively from birth. The study was designed primarily to follow the processes of interaction between biological and environmental factors in determining the childhood outcome of infants born preterm rather than to report the incidence of particular types of outcomes for special subgroups of infants. A high percentage of the children were performing within the normal range. Social factors played a major role in determining the outcome regardless of neonatal complications. Functional assessment of newborn visual attention and sleep organization showed a modest relation to outcome. A subgroup of preterm infants from Spanish-speaking families, for cultural and language integration reasons, followed a somewhat different course from infancy to childhood outcome than did the group from English-speaking families. The results suggest that in longitudinal studies of preterm infants, different cultural and language groups should be analyzed separately so that one may understand the developmental processes and outcomes.
本报告总结了一组自出生起就受到密切跟踪的早产婴儿8岁时的情况。该研究主要旨在追踪生物和环境因素之间的相互作用过程，以确定早产婴儿的儿童期情况，而非报告特定类型结果在特殊亚组婴儿中的发生率。高比例的儿童表现处于正常范围内。无论有无新生儿并发症，社会因素在决定结果方面都起着主要作用。对新生儿视觉注意力和睡眠组织的功能评估显示与结果存在一定关联。由于文化和语言融合的原因，来自讲西班牙语家庭的早产婴儿亚组从婴儿期到儿童期的情况与来自讲英语家庭的婴儿组有所不同。结果表明，在对早产婴儿的纵向研究中，应分别分析不同的文化和语言群体，以便了解发育过程和结果。
