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Cited by 150Infant Development and Preterm CareChild and Adolescent Psychosocial and Emotional DevelopmentMaternal Mental Health During Pregnancy and Postpartum

Early intervention for low birth weight, preterm infants: The role of negative emotionality in the specification of effects

BLAIR, CLANCY·2002·Development and Psychopathology
DOI 10.1017/s0954579402002079
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Abstract

This study examined the relation of negative emotionality in infancy to child social and cognitive developmental outcomes among low birth weight (LBW) preterm infants participating in the Infant Health and Development Program (IHDP), a comprehensive compensatory education intervention beginning in infancy and lasting through age 3 years. In this analysis, intervention effects at age 36 months on maternal report of child behavior as assessed by the Child Behavior Checklist externalizing and internalizing scales and on intelligence as measured by the Stanford–Binet scale were largest among children characterized by higher levels of negative emotionality in infancy. Findings indicate that for LBW preterm infants characterized by negative emotionality at age 12 months the intervention was associated with a twofold decrease in the occurrence of clinically meaningful levels of behavior problems at age 3 years and a fourfold decrease in the occurrence of a high-risk profile in which both internalizing and externalizing scores are in the clinically meaningful range. The intervention was also associated with a fivefold decrease in the occurrence of IQ ≤ 75 at age 3 years among children with higher levels of negative emotionality and heavier LBW (2001–2500 g). However, specific aspects of temperamental difficulty such as fearfulness and anger were related to internalizing and externalizing, respectively, in both the intervention and control groups. Findings are consistent with research linking negative emotionality in infancy with social and cognitive developmental outcomes in early childhood among normal birth weight infants. Results suggest the need for further attention to child temperament in early intervention research.

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  • In studies of differential susceptibility, infants and young children with high behavioral reactivity and negative emotionality tend to show optimal regulation in high-quality environments but unfavorable outcomes in low-quality environments.

    “In an increasing number of studies examining the differential susceptibility theory, infants and young children characterized by high levels of behavioral reactivity and negative emotionality are particularly likely to exhibit optimal regulation of behavior in high-quality environments but unfavorable outcomes in low-quality environments (Blair, 2002; Belsky, Hsieh, & Crnic, 1998; van den Boom, 19”

    From Stress and the development of self-regulation in context (2010) · cites this paper as Blair, 2002

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Authors
BLAIR, C.
Affiliations
Pennsylvania State University (US)
Corresponding author
BLAIR, CLANCY
ORCID
BLAIR, CLANCY
Venue
Development and Psychopathology
Publisher
Cambridge University Press (CUP)
Published
2002-05-15
Volume
14
Issue
2
Pages
311-332
ISSN
  • 0954-5794 (ISSN-L)
  • 1469-2198
DOI
10.1017/s0954579402002079
OpenAlex
W2131685341
Cited by
150
References
0
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 5 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 11 · 2014: 9 · 2013: 10 · 2012: 12
FWCI
4.21
Type
journal article
Language
en
Open access
closed
Licence
www.cambridge.org/core/terms (unspecified)
Locations
  • Development and Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
negative affectivity, low birth weight, preterm infants, early intervention, Infant Health and Development Program, compensatory education, child temperament, behavioral problems, internalizing problems, externalizing problems, IQ, fearfulness, anger
MeSH terms
Child, Preschool, Emotions, Female, Follow-Up Studies, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Intelligence, Internal-External Control, Male, Early Intervention, Educational

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