Weisglas-Kuperus N, Koot H M, Baerts W, Fetter W P, Sauer P J
Sophia Children's Hospital, Rotterdam, The Netherlands.
Dev Med Child Neurol. 1993 May;35(5):406-16.
Parent and clinician reports of behaviour problems among very low-birthweight (VLBW) children at 3 1/2 years of age were studied in relation to indicators of neonatal cerebral damage, cognition and social factors. VLBW children had more depressed behaviour and more internalizing problems by parent report, and also scored significantly more often within the clinical range on total problem scores, than children in the comparison group. Neither neonatal cerebral ultrasound nor neurological examinations were directly associated with behavioural outcome. Cerebral damage was related to cognitive development. Cognition directly influenced behaviour problems according to clinician report, while the home environment did so according to parent report. The authors suggest that depressed behaviour of preschool VLBW children might be associated with parental reactions to the birth of a VLBW child, and that their attention problems might be linked indirectly to brain damage via cognitive impairments.
对极低出生体重（VLBW）儿童3岁半时家长和临床医生报告的行为问题，与新生儿脑损伤指标、认知和社会因素进行了相关性研究。与对照组儿童相比，根据家长报告，VLBW儿童有更多的抑郁行为和更多的内化问题，并且在总问题得分上显著更频繁地处于临床范围内。新生儿脑超声检查和神经学检查均与行为结果无直接关联。脑损伤与认知发展有关。根据临床医生报告，认知直接影响行为问题，而根据家长报告，家庭环境则有此影响。作者认为，学龄前VLBW儿童的抑郁行为可能与家长对VLBW儿童出生的反应有关，并且他们的注意力问题可能通过认知障碍与脑损伤间接相关。
