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年度研究综述:发展神经科学视角下的早期干预。

Annual Research Review: Early intervention viewed through the lens of developmental neuroscience.

机构信息

Department of Pediatrics and Neuroscience, Harvard Medical School, Boston, MA, USA.

Division of Developmental Medicine, Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA.

出版信息

J Child Psychol Psychiatry. 2024 Apr;65(4):435-455. doi: 10.1111/jcpp.13858. Epub 2023 Jul 12.

Abstract

The overarching goal of this paper is to examine the efficacy of early intervention when viewed through the lens of developmental neuroscience. We begin by briefly summarizing neural development from conception through the first few postnatal years. We emphasize the role of experience during the postnatal period, and consistent with decades of research on critical periods, we argue that experience can represent both a period of opportunity and a period of vulnerability. Because plasticity is at the heart of early intervention, we next turn our attention to the efficacy of early intervention drawing from two distinct literatures: early intervention services for children growing up in disadvantaged environments, and children at elevated likelihood of developing a neurodevelopmental delay or disorder. In the case of the former, we single out interventions that target caregiving and in the case of the latter, we highlight recent work on autism. A consistent theme throughout our review is a discussion of how early intervention is embedded in the developing brain. We conclude our article by discussing the implications our review has for policy, and we then offer recommendations for future research.

摘要

本文的总体目标是从发展神经科学的角度考察早期干预的效果。我们首先简要总结了从受孕到出生后几年的神经发育过程。我们强调了出生后阶段经验的作用,并且与几十年来关于关键期的研究一致,我们认为经验既可以代表机会期,也可以代表脆弱期。由于可塑性是早期干预的核心,因此我们接下来将注意力转向从两个不同文献中得出的早期干预效果:在不利环境中成长的儿童的早期干预服务,以及有发展神经发育迟缓或障碍风险的儿童的早期干预。在前一种情况下,我们专门针对养育干预进行了研究,在后一种情况下,我们重点介绍了最近关于自闭症的研究。我们的综述贯穿始终的一个主题是讨论早期干预是如何嵌入发育中的大脑的。我们通过讨论我们的综述对政策的影响来结束本文,然后为未来的研究提出建议。

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