Sarah C. H. Thompson, Karli Treyvaud, Leona Pascoe, Rheanna M. Mainzer, Thi-Nhu-Ngoc Nguyen, Terrie E. Inder, Lex W. Doyle, Peter J. Anderson
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引用次数: 0
摘要
目的：比较早产儿（VPT）和足月儿（FT）5至13岁期间在同伴问题和亲社会行为方面的社会功能轨迹：参与者来自维多利亚婴儿大脑研究（VIBeS）纵向队列，其中包括 224 名早产儿和 77 名足月儿。社会功能采用家长评定的优势与困难问卷（SDQ）同伴问题和亲社会行为分量表来测量5岁、7岁和13岁校正年龄时的社会功能。研究采用多层次混合效应模型：同伴问题随着年龄的增长而增加（调整后的每年平均差异=0.04，95%置信区间[CI] = 0.01，0.07，P = 0.02），VPT 组的同伴问题高于 FT 组（调整后的组间平均差异=0.46，95% CI = 0.06，0.86，P = 0.02）。亲社会行为在儿童早期至中期增加，在接近青春期时减少，但在 VPT 组和 FT 组之间的情况相似（组间调整后平均差异 = -0.05，95% CI = -0.50，0.40，p =0.82）：结论：与全托儿童相比，出生时患有 VPT 的儿童出现同伴问题的风险更大，如果能在早期获得更多的社会支持，他们可能会从中受益。
Trajectories of social outcomes in individuals born very preterm from childhood to adolescence
Aim
To compare trajectories of social functioning in peer problems and prosocial behavior from 5 to 13 years between individuals born very preterm (VPT) and full-term (FT).
Methods
Participants were from the Victorian Infant Brain Study (VIBeS) longitudinal cohort, consisting of 224 individuals born VPT and 77 born FT recruited at birth. Social functioning was measured using the parent-rated Strengths and Difficulties Questionnaire (SDQ) peer problems and prosocial behavior subscales at 5, 7, and 13 years' corrected age. Multilevel mixed effects models were fitted.
Results
Peer problems increased with age (adjusted mean difference per year = 0.04, 95% confidence interval [CI] = 0.01, 0.07, p = 0.02), with higher peer problems in the VPT compared with the FT group (adjusted mean difference between groups = 0.46, 95% CI = 0.06, 0.86, p = 0.02). Prosocial behavior increased from early to middle childhood and decreased approaching adolescence, but was similar between VPT and FT groups (adjusted mean difference between groups = −0.05, 95% CI = −0.50, 0.40, p = 0.82).
Conclusion
Children born VPT are at greater risk for peer problems than FT peers and may benefit from receiving greater early social support.
期刊介绍：
Acta Paediatrica is a peer-reviewed monthly journal at the forefront of international pediatric research. It covers both clinical and experimental research in all areas of pediatrics including:
neonatal medicine
developmental medicine
adolescent medicine
child health and environment
psychosomatic pediatrics
child health in developing countries
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