Journal of Developmental and Behavioral Pediatrics最新文献

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Diverse Caregiver Perspectives on Sleep Health in School-aged Children: A Mixed-methods Study. 不同照顾者对学龄儿童睡眠健康的看法:一项混合方法研究。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-07-01 Epub Date: 2026-06-15 DOI: 10.1097/DBP.0000000000001496
Grace Wang, Jessica Page, Rebecca Robbins, Carolina Dos Santos, Aleah St Martin, Judith Owens
{"title":"Diverse Caregiver Perspectives on Sleep Health in School-aged Children: A Mixed-methods Study.","authors":"Grace Wang, Jessica Page, Rebecca Robbins, Carolina Dos Santos, Aleah St Martin, Judith Owens","doi":"10.1097/DBP.0000000000001496","DOIUrl":"10.1097/DBP.0000000000001496","url":null,"abstract":"<p><strong>Objective: </strong>To explore sleep health knowledge, perspectives, and experiences in diverse caregivers of school-aged children receiving care from community health care centers to inform clinical practice.</p><p><strong>Method: </strong>Mixed-methods study including surveys and semistructured interviews with caregivers of school-aged children were conducted to provide understanding of their sleep beliefs, child sleep disturbances, and home sleep environment. Survey data (n = 19) were summarized descriptively and examined using Fisher exact tests. Qualitative data (n = 21) were analyzed using constant comparative analysis.</p><p><strong>Results: </strong>Survey data indicated a few caregiver misconceptions about sleep health, such as \"Most school-aged children need about 8 hours of sleep per night,\" reported by 95% of caregivers and the belief that \"If a child has trouble falling asleep, you should move their bedtime earlier,\" reported by 84% of caregivers. Four major qualitative themes were identified for caregivers: (1) perceptions of their child's sleep; (2) experiences in the primary care setting regarding their child's sleep health; (3) experiences searching for information about sleep; (4) needed information and resources to help support their child's sleep.</p><p><strong>Conclusion: </strong>Findings emphasize the need for (1) health care providers to integrate sleep health education into routine care and (2) the development of sleep health education for diverse caregivers of school-aged children.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e427-e436"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Positive Parenting is Associated With Higher Self-reported Resilience in Children With Attention-Deficit Hyperactivity Disorder. 积极的父母教育与患有注意力缺陷多动障碍的儿童较高的自我报告弹性有关。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1097/DBP.0000000000001497
Janejira Euaputtajunya, Rawiwan Roongpraiwan, Pornchanok Wantanakorn, Pawin Numthavaj, Sasiporn Sitthisorn, Vilawan Chirdkiatgumchai
{"title":"Positive Parenting is Associated With Higher Self-reported Resilience in Children With Attention-Deficit Hyperactivity Disorder.","authors":"Janejira Euaputtajunya, Rawiwan Roongpraiwan, Pornchanok Wantanakorn, Pawin Numthavaj, Sasiporn Sitthisorn, Vilawan Chirdkiatgumchai","doi":"10.1097/DBP.0000000000001497","DOIUrl":"10.1097/DBP.0000000000001497","url":null,"abstract":"<p><strong>Objective: </strong>To investigate whether positive parenting is associated with higher self-report resilience in children with attention-deficit hyperactivity disorder (ADHD) after controlling for other possible related factors.</p><p><strong>Method: </strong>After providing informed consent, children with ADHD aged 7 to 11 years completed the Resilience Scale for Children (RS10), and adolescents aged 12 to 18 years completed the 14-item Resilience Scale (RS14). Higher resilience was defined as a resilience score above the mean score minus 1 SD (> mean - 1SD) for comparable age groups provided in the manuals. Children with scores under this cut-point were defined as having lower resilience. Parents completed the Parenting Styles and Dimensions Questionnaire and the Vanderbilt ADHD Rating Scale. Factors associated with higher resilience were analyzed using univariable and multivariable logistic regression analyses.</p><p><strong>Results: </strong>A total of 181 children participated in the study. The mean participant age was 11.15 (SD: 2.46) years. Of the participants, 79% were boys. A total of 118 children (65.19%) comprised the higher resilience group. Multivariable logistic regression analyses showed that higher positive parenting behavior score (adjusted odds ratio [aOR]: 1.40, 95% confidence interval [CI]: 1.08-1.83) and peer acceptance (aOR: 4.14, CI: 1.83‒9.37) were associated with higher resilience. Older age and having a diagnosis of borderline intelligence were associated with lower resilience: aORs: 0.84 (95% CI: 0.73-0.97) and 0.08 (95% CI: 0.01-0.75), respectively.</p><p><strong>Conclusion: </strong>Positive parenting and peer acceptance were associated with higher self-perceived resilience. Health care providers should promote positive parenting and social skills to nurture resilience in children with ADHD.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e397-e403"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Visual Engagement in Preterm and Term Children With Autism: Consistent Eye-tracking Patterns Irrespective of Gestational Age. 自闭症早产儿和足月儿童的社会视觉参与:与胎龄无关的一致的眼球追踪模式。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-07-01 Epub Date: 2026-04-08 DOI: 10.1097/DBP.0000000000001484
Alexandra P Key, Emma McQueen, Hannah Tokish, Laura Edwards, Warren Jones, Ami Klin, Cheryl Klaiman
{"title":"Social Visual Engagement in Preterm and Term Children With Autism: Consistent Eye-tracking Patterns Irrespective of Gestational Age.","authors":"Alexandra P Key, Emma McQueen, Hannah Tokish, Laura Edwards, Warren Jones, Ami Klin, Cheryl Klaiman","doi":"10.1097/DBP.0000000000001484","DOIUrl":"10.1097/DBP.0000000000001484","url":null,"abstract":"<p><strong>Objective: </strong>Premature infants born before 37 weeks' gestation are at increased risk for neurodevelopmental delays and autism spectrum disorder (ASD) compared with the general population. This study aimed to evaluate ASD symptoms independently of the developmental sequelae of preterm birth by objectively assessing social visual engagement using eye-tracking procedures during free viewing of short, dynamic video clips.</p><p><strong>Method: </strong>One hundred twenty-eight autistic toddlers born at term and 64 toddlers born preterm (23-36 weeks; 31 diagnosed with autism) between 1 and 3 years of chronological age completed an experimental eye-tracking measure of social visual engagement and gold-standard diagnostic behavioral assessment by expert clinicians.</p><p><strong>Results: </strong>The preterm-born toddlers who were versus were not diagnosed with autism demonstrated significantly lower visual engagement with the eyes and mouth regions of the stimuli and increased fixation on objects. Individual differences in these eye-tracking metrics correlated with clinical measures of autism symptoms and receptive language. Comparisons of autistic toddlers born at term versus preterm identified no group differences in the patterns of social visual engagement. Greater gestational age at birth was associated only with better nonverbal developmental outcomes.</p><p><strong>Conclusion: </strong>Early symptoms of autism present similarly in preterm and term-born toddlers when evaluated using objective eye-tracking metrics of social visual engagement. Alterations in social engagement associated with autism seem independent of broader developmental concerns related to prematurity and therefore are a useful aid in the early identification of ASD-specific concerns in preterm toddlers for whom differential diagnosis based on behavior alone may be particularly challenging.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e411-e418"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Responding to the Exclusion of Developmental-Behavioral Pediatrics as an American Board of Pediatrics Content Domain for General Pediatrics. 对美国儿科委员会将发育行为儿科学排除在普通儿科学内容领域的回应。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-07-01 Epub Date: 2026-08-14 DOI: 10.1097/DBP.0000000000001503
Robert G Voigt, Robert D Keder, Adiaha I Spinks-Franklin, William J Barbaresi
{"title":"Responding to the Exclusion of Developmental-Behavioral Pediatrics as an American Board of Pediatrics Content Domain for General Pediatrics.","authors":"Robert G Voigt, Robert D Keder, Adiaha I Spinks-Franklin, William J Barbaresi","doi":"10.1097/DBP.0000000000001503","DOIUrl":"10.1097/DBP.0000000000001503","url":null,"abstract":"","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e385-e387"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Near-fatal Food Aspiration in a Young Child With Down Syndrome. 患有唐氏综合症的幼儿的近乎致命的食物吸入。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-07-01 Epub Date: 2026-05-13 DOI: 10.1097/DBP.0000000000001490
Masazumi Miyahara, Kyoko Osaki
{"title":"Near-fatal Food Aspiration in a Young Child With Down Syndrome.","authors":"Masazumi Miyahara, Kyoko Osaki","doi":"10.1097/DBP.0000000000001490","DOIUrl":"10.1097/DBP.0000000000001490","url":null,"abstract":"<p><strong>Objective: </strong>To highlight the multifactorial risks of food aspiration in children with Down syndrome (DS), including anatomical, functional, and behavioral vulnerabilities, through a case of near-fatal choking.</p><p><strong>Method: </strong>We describe a case involving a 4-year-old boy with DS who presented with near-asphyxiation after aspirating a large piece of fried chicken. The patient's medical history, clinical findings, imaging results, and treatment course were reviewed.</p><p><strong>Results: </strong>The patient exhibited delayed language development, absent protective airway reflexes, impulsive eating behavior, and possible streptococcal tonsillitis. A large food bolus was visualized in the upper airway but could not be removed because of agitation. Spontaneous coughing expelled the object, and the patient recovered fully after a course of antibiotics. Imaging confirmed the obstruction, and group A Streptococcus was detected on a throat swab.</p><p><strong>Conclusion: </strong>This case underscores the need for proactive feeding and swallowing assessments, especially during transitions to self-feeding in children with DS. Individualized preventive strategies, including caregiver education and early behavioral assessment, are critical to reducing aspiration-related morbidity in this vulnerable population.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e474-e476"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of Autism Spectrum Disorder Among Children With Diagnostic Uncertainty After Initial Developmental-Behavioral Pediatric Evaluation. 儿童初始发育行为评估后诊断不确定的自闭症谱系障碍的预测因素。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-07-01 Epub Date: 2026-04-23 DOI: 10.1097/DBP.0000000000001479
Ruby R Tan, Rose Nevill, Valentina Intagliata, Audrey Higgins, Elizabeth White, Andrew Burns, Jenniffer Herrera, Beth Ellen Davis
{"title":"Predictors of Autism Spectrum Disorder Among Children With Diagnostic Uncertainty After Initial Developmental-Behavioral Pediatric Evaluation.","authors":"Ruby R Tan, Rose Nevill, Valentina Intagliata, Audrey Higgins, Elizabeth White, Andrew Burns, Jenniffer Herrera, Beth Ellen Davis","doi":"10.1097/DBP.0000000000001479","DOIUrl":"10.1097/DBP.0000000000001479","url":null,"abstract":"<p><strong>Objective: </strong>To examine demographic and child/family factors predictive of autism spectrum disorder (ASD) in children with diagnostic uncertainty after initial assessment by experienced Developmental Behavioral Pediatric (DBP) clinicians.</p><p><strong>Methods: </strong>A retrospective cohort of 87 consecutive children was seen for Interdisciplinary Autism Diagnostic Team (IADT) assessment between January 2022 and March 2023 because of initial DBP clinician diagnostic uncertainty. Sociodemographic and child/family characteristics including IADT results were analyzed using Mann-Whitney U tests, χ 2 tests, and logistic regression to determine predictors of ASD diagnosis.</p><p><strong>Results: </strong>Mean age of referred children was 6.9 (SD 3.02) years, 74% were male, and 78% did not exhibit cognitive delays. Demographic factors did not significantly differ between ASD and non-ASD diagnostic groups. The ASD group had lower rates of prenatal substance exposure ( p < 0.001), physical aggression ( p = 0.033), family history of non-ASD mental health conditions ( p = 0.002), and adverse childhood events ( p = 0.016). Autism spectrum disorder diagnostic testing best predicted an ASD diagnosis. The ASD group had significantly higher Autism Diagnostic Observation Schedule (ADOS) Total ( p < 0.001) and Comparison scores ( p < 0.001) than the non-ASD group.</p><p><strong>Conclusion: </strong>Children with ASD diagnostic uncertainty often share similar demographic and clinical features. This study found that family history of non-ASD conditions and child experiences of early adversity are significant factors in differentiating ASD and non-ASD. Child and family factors at point-of-referral may help discern need for an ASD team evaluation including structured observational tools (e.g., ADOS-2) and improve efficiency of assessment planning.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e404-e410"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Journal Article Reviews. 期刊文章评论。
IF 2.2 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-05-26 DOI: 10.1097/DBP.0000000000001491
Fiorella B Castillo, Audrey Christiansen, Beth Bloom Emrick, Dawn Greathouse, Heather Potts
{"title":"Journal Article Reviews.","authors":"Fiorella B Castillo, Audrey Christiansen, Beth Bloom Emrick, Dawn Greathouse, Heather Potts","doi":"10.1097/DBP.0000000000001491","DOIUrl":"https://doi.org/10.1097/DBP.0000000000001491","url":null,"abstract":"","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retrospective Review of Children's Diagnostic Assessments for Autism Spectrum Disorder in British Columbia: Are we Identifying Co-occurring Motor Deficits? 不列颠哥伦比亚省儿童自闭症谱系障碍诊断评估的回顾性回顾:我们是否确定了共同发生的运动缺陷?
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-01-26 DOI: 10.1097/DBP.0000000000001458
April L Christiansen, Isobel Fishman, Sarah M Hutchison, Elizabeth Mickelson, Jill G Zwicker
{"title":"Retrospective Review of Children's Diagnostic Assessments for Autism Spectrum Disorder in British Columbia: Are we Identifying Co-occurring Motor Deficits?","authors":"April L Christiansen, Isobel Fishman, Sarah M Hutchison, Elizabeth Mickelson, Jill G Zwicker","doi":"10.1097/DBP.0000000000001458","DOIUrl":"10.1097/DBP.0000000000001458","url":null,"abstract":"<p><strong>Objectives: </strong>Since the publication of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) in 2013, a dual diagnosis of autism spectrum disorder (ASD) and developmental coordination disorder (DCD) has been permitted. This study assessed the prevalence of DCD in children with ASD and whether DCD diagnosis increased after the publication of the DSM-5.</p><p><strong>Methods: </strong>We retrospectively reviewed data from 19,307 children (≤19 years) assessed for ASD in the province of British Columbia in Canada between 2010 and 2019 (N = 19,307). Data from 2010 to 2013 (DSM-4 in place, n = 6532) and 2014 to 2019 (after publication of DSM-5, n = 12,775) were analyzed separately.</p><p><strong>Results: </strong>From 2010 to 2013, only 1.1% (37/3261) of children diagnosed with ASD received a co-diagnosis of DCD. Children who were assessed for ASD but not given a diagnosis, 2.4% (62/2559) received a DCD diagnosis. After the publication of the DSM-5 (2014-2019), diagnosis of DCD in children diagnosed with ASD showed a modest increase to 2.8% (172/6152). For children without an ASD diagnosis, 2.9% (99/3396) were given a DCD diagnosis.</p><p><strong>Conclusion: </strong>This study demonstrates consistently low rates of DCD diagnosis across 2 periods: before and after the publication of the DSM-5. Despite a modest increase, the prevalence of ASD + DCD co-diagnoses after the introduction of DSM-5, DCD rates remain significantly lower than reported in the literature. This discrepancy suggests significant and persistent underdiagnosis of DCD in children with ASD in British Columbia.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e294-e300"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Paternal Skin Contact on Physical Parameters, Cortisol Levels and Newborn Comfort: A Randomized Controlled Study. 父亲皮肤接触对身体参数、皮质醇水平和新生儿舒适度的影响:一项随机对照研究。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-03-16 DOI: 10.1097/DBP.0000000000001467
Döndü Sevimli Güler, Yasemin Aydin Kartal, İbrahim Caner
{"title":"Effects of Paternal Skin Contact on Physical Parameters, Cortisol Levels and Newborn Comfort: A Randomized Controlled Study.","authors":"Döndü Sevimli Güler, Yasemin Aydin Kartal, İbrahim Caner","doi":"10.1097/DBP.0000000000001467","DOIUrl":"10.1097/DBP.0000000000001467","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to investigate the effects of skin-to-skin contact between newborns born by cesarean section and their fathers on the newborns' physiological parameters, salivary cortisol levels, and comfort.</p><p><strong>Materials and methods: </strong>In this study, which used a randomized controlled experimental design, 80 healthy term newborns delivered by cesarean section. In the intervention group, the fathers applied skin-to-skin contact (SSC) for 45 minutes to their newborns. In the control group, the newborns received routine care. Data were collected using a parent descriptive information form, newborn descriptive information form, (SSC) monitoring form, and Neonatal Comfort Behavior Scale|Newborn Comfort Behavior Scale. Body temperature, oxygen saturation, heart rate, and respiration were measured, and salivary cortisol analysis was performed.</p><p><strong>Results: </strong>No significant differences were found regarding the sociodemographic characteristics in the intervention and control groups. Body temperature was significantly higher during (20th minute) and after (45th minute) SSC, whereas heart and respiratory rates were significantly lower in newborns in the intervention group than those in the control group. The 45-minute SPO 2 values and comfort levels of the intervention group newborns were also significantly higher than those of the control group newborns. The salivary cortisol level was significantly higher in the intervention group at the 20th minute, but there was no significant difference between the groups at the 45th minute.</p><p><strong>Conclusion: </strong>Paternal SSC with newborns has positive effect on physiological parameters and patient comfort. However, it is recommended that salivary cortisol levels be studied in larger samples with repeated and long-term measurements.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e333-e340"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Academic Impairment in Children Born Very Preterm at 7 and 13 Years of age. 7岁和13岁非常早产儿童的学业障碍。
IF 1.5 3区 医学
Journal of Developmental and Behavioral Pediatrics Pub Date : 2026-05-01 Epub Date: 2026-03-02 DOI: 10.1097/DBP.0000000000001470
Leona Pascoe, Ines Mürner-Lavanchy, Jessie Gordon, Megan Spencer-Smith, Peter J Anderson
{"title":"Academic Impairment in Children Born Very Preterm at 7 and 13 Years of age.","authors":"Leona Pascoe, Ines Mürner-Lavanchy, Jessie Gordon, Megan Spencer-Smith, Peter J Anderson","doi":"10.1097/DBP.0000000000001470","DOIUrl":"10.1097/DBP.0000000000001470","url":null,"abstract":"<p><strong>Objective: </strong>Children born very preterm (VPT) are vulnerable to academic challenges; however, it remains unclear whether these difficulties persist into early adolescence. This study aimed to investigate rates of academic impairment in children born VPT and full-term, and impairment stability from 7 to 13 years in children born VPT using 2 approaches: academic underachievement and IQ-achievement discrepancy.</p><p><strong>Method: </strong>Participants were children born <30 weeks' gestational age and/or <1250 g and full-term (≥37 weeks' gestational age) assessed at 7 (VPT n = 197, full-term n = 69) and 13 years (VPT n = 179, full-term n = 61) on general cognitive ability (WASI-4 and KBIT-2), word reading, spelling, and mathematics (WRAT-4).</p><p><strong>Results: </strong>Using an underachievement approach, children born VPT were more likely to have an academic impairment at ages 7 and 13 years compared with term-born controls, particularly in reading (odds ratio [OR] and confidence interval [CI] at 7 years: 3.72 [1.67-8.27], at 13 years: 2.55 [1.06-6.11]) and mathematics (OR [CI] at 7 years: 5.77 [2.51-13.25], at 13 years: 2.78 [1.36-5.69]). Rates of impairment were low for both groups using an IQ-achievement discrepancy approach, although a group difference was evident for mathematics impairment at 7 years (OR [CI] 5.94 [1.37-25.8]), with higher rates in the VPT group (15% vs 3%). Rates of academic impairment remained relatively stable between 7 and 13 years of age, regardless of the approach applied.</p><p><strong>Conclusion: </strong>The rate of academic impairment varies depending on the approach used to classify impairment. Our findings suggest that academic difficulties in children born VPT may reflect a general cognitive impairment rather than a specific academic deficit.</p>","PeriodicalId":50215,"journal":{"name":"Journal of Developmental and Behavioral Pediatrics","volume":" ","pages":"e341-e347"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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