The spectrum of behavioral outcomes after extreme prematurity: regulatory, attention, social, and adaptive dimensions
Abstract
Advances in obstetrics and neonatology have increased the survival rates of premature infants with very preterm (<32 weeks) and extremely preterm (<28 weeks) gestations. However, survivors have a high frequency of challenges in academic and social skills. There has been an increased emphasis on examination of outcomes beyond survival rates and rates of neurosensory disabilities at ages 18 to 24 months (eg, cerebral palsy, blindness, deafness, global development delay). One of the key strategies for understanding pathways of risk and resilience is to examine behavioral, social-emotional, and adaptive competencies. The purpose of this paper is to apply the International Classification of Functioning framework to a spectrum of behavioral outcomes after extreme prematurity, describe useful tools for measuring behavioral, social, and adaptive competencies, as well as review model outcome studies before middle childhood. Thus, we can use current information to begin to understand pathways underlying behavioral health, well-being, and social competence.
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Executive function and adaptive function deficits are well documented in preterm preschoolers and children.
“Deficits in executive function and adaptive function have been well documented in preterm preschoolers and children [7, 19].”
From Sensory processing in preterm preschoolers and its association with executive function (2015) · cites this paper as [19]
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Sensory processing in preterm preschoolers and its association with executive function
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- Authors
- Msall, M. E., & Park, J. J.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Msall, Michael E.
- Venue
- Seminars in Perinatology
- Publisher
- Elsevier BV
- Published
- 2008-02
- Volume
- 32
- Issue
- 1
- Pages
- 42-50
- ISSN
- 0146-0005 (ISSN-L)
- OpenAlex
- W2071919306
- Cited by
- 82
- References
- 50
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 2 · 2018: 3 · 2017: 7 · 2016: 2 · 2015: 4 · 2014: 8 · 2013: 5 · 2012: 13
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Seminars in Perinatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Keywords
- extremely preterm birth, very preterm infants, behavioral effects, socioemotional skills, adaptive behavior, regulatory behavior, attention, social competence, International Classification of Functioning, Disability and Health, neurodevelopmental outcomes, risk and resilience
- MeSH terms
- Adolescent, Child, Developmental Disabilities, Child, Preschool, Follow-Up Studies, Humans, Infant, Infant, Newborn, Infant, Premature, Risk Factors, Severity of Illness Index, Infant, Very Low Birth Weight, Attention Deficit and Disruptive Behavior Disorders, Infant, Extremely Low Birth Weight
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