早产及胎儿生长受限与多动/注意力不集中和攻击/犯罪行为的纵向关系。
Longitudinal relations of prematurity and fetal growth restrictions with hyperactivity/inattention and aggression/delinquency.
作者信息
Zumbach-Basu Jelena, Rademacher Annika, Koglin Ute, Bender Doris, Lösel Friedrich
机构信息
Department of Forensic Psychology, Psychologische Hochschule Berlin, Germany, Am Koellnischen Park 2, 10179, Berlin, Germany.
I. School of Education and Social Science, Department of Special Needs Education and Rehabilitation, Psychology in Special Needs Education and Rehabilitation, Carl von Ossietzky Universität Oldenburg, Ammerlaender Heerstrasse 114-118, 26129, Oldenburg, Germany.
出版信息
Pediatr Res. 2024 Dec;96(7):1843-1852. doi: 10.1038/s41390-024-03297-y. Epub 2024 Jun 19.
BACKGROUND
It is the aim of this study to analyze the longitudinal relationship between premature birth and low birth weight and the reciprocal influence between hyperactive/inattentive behavior and aggressive/delinquent behavior problems in children from early to late childhood.
METHODS
This study contains data from the German Erlangen-Nuremberg Development and Prevention Study. It applies prospective longitudinal path analyses on data obtained from postnatal pediatric assessments as well as later psychosocial behavior assessments by teachers and parents on N = 667 children, out of which n = 83 children (12.44%) were born preterm/small for gestational age.
RESULTS
The results show direct effects of birth complications at the beginning of preschool on hyperactivity/inattentiveness (teacher rating: ß = 0.28; p = 0.017; parent rating: ß = 0.32; p = 0.005), but not on aggression/delinquency (teacher rating: ß = 0.002; p = 0.427; parent rating: ß = 0.12; p = 0.324). Reciprocal effects between aggression/delinquency and hyperactivity/inattentiveness were stable at the end of elementary school, but not at the end of preschool across informants.
CONCLUSION
Our results support a differentiated view on the potential development of behavior problems after birth complications and the demand for early prevention measures.
IMPACT STATEMENT
Our results extend to the existing body of research by providing insight into the longitudinal effects of prematurity and fetal growth restrictions on hyperactive and aggressive/delinquent behavioral problems throughout a rather long period of development in childhood. The results show direct effects of birth complications on the development of hyperactivity for boys, but not for girls across informants. No direct effects of birth complications on aggression/delinquency are found. Our findings speak against too simple views on behavioral consequences of birth complications and thus can relieve too anxious parents, however close monitoring of the behavioral development of respective children is indicated.
背景
本研究旨在分析早产和低出生体重之间的纵向关系，以及儿童从幼儿期到童年晚期多动/注意力不集中行为与攻击/违纪行为问题之间的相互影响。
方法
本研究包含来自德国埃尔朗根-纽伦堡发展与预防研究的数据。对从产后儿科评估以及教师和家长对N = 667名儿童进行的后期社会心理行为评估中获得的数据进行前瞻性纵向路径分析，其中n = 83名儿童（12.44%）早产/小于胎龄。
结果
结果显示，学龄前开始时出生并发症对多动/注意力不集中有直接影响（教师评分：β = 0.28；p = 0.017；家长评分：β = 0.32；p = 0.005），但对攻击/违纪行为没有直接影响（教师评分：β = 0.002；p = 0.427；家长评分：β = 0.12；p = 0.324）。攻击/违纪行为与多动/注意力不集中之间的相互影响在小学期末是稳定的，但在学龄前期末，不同信息提供者的结果并不一致。
结论
我们的结果支持对出生并发症后行为问题的潜在发展持差异化观点，并支持早期预防措施的需求。
影响声明
我们的结果扩展了现有研究，通过深入了解早产和胎儿生长受限在儿童相当长的发育时期内对多动和攻击/违纪行为问题的纵向影响。结果显示，出生并发症对男孩多动的发展有直接影响，但不同信息提供者对女孩没有此影响。未发现出生并发症对攻击/违纪行为有直接影响。我们的研究结果反对对出生并发症的行为后果持过于简单的观点，从而可以缓解过于焦虑的父母的担忧，不过仍建议密切监测各个儿童的行为发展。
Zotero 插件