{"title":"儿童中期极低出生体重新生儿的认知功能和行为结局。","authors":"Kanya Mukhopadhyay, Rajni Sharma, Jaivinder Yadav","doi":"10.1007/s13312-025-00171-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To assess the cognitive and behavioral outcomes of very low birth weight (VLBW) as compared to normal birth weight (NBW) neonates in middle childhood.</p><p><strong>Methods: </strong>In this observational study, the first 50 VLBW (≤ 1250 g) children from an original cohort of 2009-2011, who agreed to participate, and 50 age and sex-matched NBW children were assessed at 6-11 years age. Cognitive function, behavior, psychopathology, self-concept, adjustment and memory parameters were assessed by a certified psychologist using Malin's Intelligence Scale for Indian Children (MISIC), Childhood Psychopathology Measurement Schedule, Children's Self-concept Scale, Preadolescent Adjustment Inventory, and PGI Memory Scale for Children (PGIMC), respectively.</p><p><strong>Results: </strong>Compared to NBW, the VLBW children had significantly lower Verbal Intelligence Quotient (IQ) (P = 0.008), Performance IQ (P < 0.001), and Full-Scale IQ (FSIQ) (P < 0.001). VLBW cohort had significantly lower scores in remote memory (P < 0.001), mental balance (P = 0.001), attention (P = 0.005), visual retention (P < 0.001), and recognition (P = 0.003). VLBW cohort exhibited significantly higher scores on psychopathology (P = 0.036), anxiety (P = 0.034), significantly lower self-concept (P < 0.001) and adjustment scores (P < 0.001) than NBW.</p><p><strong>Conclusions: </strong>VLBW children have significant cognitive, behavioral and adjustment issues as compared to NBW children.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cognitive Functions and Behavioral Outcomes of Very Low Birth Weight Neonates in Middle Childhood.\",\"authors\":\"Kanya Mukhopadhyay, Rajni Sharma, Jaivinder Yadav\",\"doi\":\"10.1007/s13312-025-00171-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To assess the cognitive and behavioral outcomes of very low birth weight (VLBW) as compared to normal birth weight (NBW) neonates in middle childhood.</p><p><strong>Methods: </strong>In this observational study, the first 50 VLBW (≤ 1250 g) children from an original cohort of 2009-2011, who agreed to participate, and 50 age and sex-matched NBW children were assessed at 6-11 years age. Cognitive function, behavior, psychopathology, self-concept, adjustment and memory parameters were assessed by a certified psychologist using Malin's Intelligence Scale for Indian Children (MISIC), Childhood Psychopathology Measurement Schedule, Children's Self-concept Scale, Preadolescent Adjustment Inventory, and PGI Memory Scale for Children (PGIMC), respectively.</p><p><strong>Results: </strong>Compared to NBW, the VLBW children had significantly lower Verbal Intelligence Quotient (IQ) (P = 0.008), Performance IQ (P < 0.001), and Full-Scale IQ (FSIQ) (P < 0.001). VLBW cohort had significantly lower scores in remote memory (P < 0.001), mental balance (P = 0.001), attention (P = 0.005), visual retention (P < 0.001), and recognition (P = 0.003). VLBW cohort exhibited significantly higher scores on psychopathology (P = 0.036), anxiety (P = 0.034), significantly lower self-concept (P < 0.001) and adjustment scores (P < 0.001) than NBW.</p><p><strong>Conclusions: </strong>VLBW children have significant cognitive, behavioral and adjustment issues as compared to NBW children.</p>\",\"PeriodicalId\":13291,\"journal\":{\"name\":\"Indian pediatrics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-08-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s13312-025-00171-w\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13312-025-00171-w","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Cognitive Functions and Behavioral Outcomes of Very Low Birth Weight Neonates in Middle Childhood.
Objective: To assess the cognitive and behavioral outcomes of very low birth weight (VLBW) as compared to normal birth weight (NBW) neonates in middle childhood.
Methods: In this observational study, the first 50 VLBW (≤ 1250 g) children from an original cohort of 2009-2011, who agreed to participate, and 50 age and sex-matched NBW children were assessed at 6-11 years age. Cognitive function, behavior, psychopathology, self-concept, adjustment and memory parameters were assessed by a certified psychologist using Malin's Intelligence Scale for Indian Children (MISIC), Childhood Psychopathology Measurement Schedule, Children's Self-concept Scale, Preadolescent Adjustment Inventory, and PGI Memory Scale for Children (PGIMC), respectively.
Results: Compared to NBW, the VLBW children had significantly lower Verbal Intelligence Quotient (IQ) (P = 0.008), Performance IQ (P < 0.001), and Full-Scale IQ (FSIQ) (P < 0.001). VLBW cohort had significantly lower scores in remote memory (P < 0.001), mental balance (P = 0.001), attention (P = 0.005), visual retention (P < 0.001), and recognition (P = 0.003). VLBW cohort exhibited significantly higher scores on psychopathology (P = 0.036), anxiety (P = 0.034), significantly lower self-concept (P < 0.001) and adjustment scores (P < 0.001) than NBW.
Conclusions: VLBW children have significant cognitive, behavioral and adjustment issues as compared to NBW children.
期刊介绍:
The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are:
-To publish original, relevant, well researched peer reviewed articles on issues related to child health.
-To provide continuing education to support informed clinical decisions and research.
-To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics.
-To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.