Case-Smith J, Butcher L, Reed D
Division of Occupational Therapy, Ohio State University, Columbus 43210, USA.
Am J Occup Ther. 1998 Jul-Aug;52(7):547-55. doi: 10.5014/ajot.52.7.547.
Although most infants born prematurely do not have major developmental problems, those with perinatal medical problems and lengthy stays in the neonatal intensive care unit are at risk for sensory modulation problems and developmental sequelae. This study compared sensory responsiveness in preterm and full-term infants and examined the relationship of sensory responsiveness to temperament and developmental function.
Caregivers of infants with (n = 45) and without (n = 22) prematurity were asked to complete the Sensory Rating Scale. The preterm infants were also evaluated with the Bayley Scales of Infant Development, Second Edition (BSID-II).
The preterm infants exhibited more frequent behaviors indicating tactile defensiveness and difficult temperament than did the full-term infants. When specific items were examined, the preterm infants displayed sensory-seeking behaviors and high activity levels. As measured by caregivers' report, sensory responsiveness was significantly related to temperament. It was not related to BSID-II Mental and Psychomotor scale scores.
This study supports the findings of others that preterm infants have mild problems in sensory responsiveness and temperament. Correlational results do not support a definitive relationship between parents' reports of their infants' sensory responsiveness and developmental function.
尽管大多数早产婴儿没有严重的发育问题,但那些有围产期医学问题且在新生儿重症监护病房长时间住院的婴儿有出现感觉调节问题和发育后遗症的风险。本研究比较了早产和足月婴儿的感觉反应,并探讨了感觉反应与气质和发育功能之间的关系。
要求有(n = 45)和没有(n = 22)早产情况的婴儿的照顾者完成感觉评定量表。对早产婴儿还使用贝利婴儿发育量表第二版(BSID-II)进行了评估。
与足月婴儿相比,早产婴儿表现出更频繁的表明触觉防御和难养型气质的行为。当检查具体项目时,早产婴儿表现出感觉寻求行为和高活动水平。根据照顾者的报告,感觉反应与气质显著相关。它与BSID-II精神和心理运动量表得分无关。
本研究支持了其他研究的结果,即早产婴儿在感觉反应和气质方面存在轻度问题。相关性结果不支持父母对其婴儿感觉反应的报告与发育功能之间存在明确关系。