Cognitive and neuropsychological outcomes: More than IQ scores

Wiley - Tập 8 Số 4 - Trang 234-240 - 2002
Glen P. Aylward1
1Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, Southern Illinois University School of Medicine, Springfield, Illinois

Tóm tắt

AbstractImproved survival in preterm infants has broadened interest in cognitive and neuropsychological outcomes. The incidence of major disabilities (moderate/severe mental retardation, neurosensory disorders, epilepsy, cerebral palsy) has remained consistent, but high prevalence/low severity dysfunctions (learning disabilities, ADHD, borderline mental retardation, specific neuropsychological deficits, behavioral disorders) have increased. The follow‐up literature contains methodologic problems that make generalizations regarding outcome difficult, and these are discussed. Although mean IQs of former VLBW infants generally are in the low average range and are 3–9 points below normal birth weight peers, these scores mask subtle deficits in: visual‐motor and visual‐perceptual abilities, complex language functions, academics (reading, mathematics, spelling and writing), and attentional skills. There is an increased incidence of non‐verbal learning disabilities, need for special educational assistance, and behavioral disorders in children born prematurely. Males have more problems, and there is a trend for worsening outcome over time, due to emergence of more subtle deficits in response to increased performance demands. In addition to IQ and achievement testing in follow‐up, there should be evaluation of executive functions and attention, language, sensorimotor functions, visuospatial processes, memory and learning, and behavioral adjustment. MRDD Research Reviews 2002;8:234–240. © 2002 Wiley‐Liss, Inc.

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Tài liệu tham khảo

10.1097/00001163-199004000-00003

10.1097/00004703-199206000-00013

10.1093/jpepsy/27.1.37

Aylward GP, 1988, Who goes and who stays: Subject loss in a multicenter, longitudinal follow‐up study, J Dev Beh Pediatr, 6, 3

10.1016/S0022-3476(89)80273-2

Barksley VE, 1992, The psychological development of low birthweight children: advances in applied developmental psychology, 275

10.1037/0022-3514.51.6.1173

10.1016/S0146-0005(97)80063-8

10.1111/j.1469-8749.1989.tb04080.x

10.1093/oxfordjournals.epirev.a036191

10.1001/archpedi.1994.02170040043007

10.1093/oxfordjournals.aje.a116908

Cohen MJ, 1997, Children's Memory Scale

10.1001/archpedi.1995.02170140033005

Delis DC, 1994, California Verbal Learning Test‐Children

10.1076/jcen.21.6.851.859

Escalona SK, 1982, Babies at couble hazard: Early development of infants at biologic and social risk, Pediatrics, 70, 670, 10.1542/peds.70.5.670

10.1080/01688639208402847

10.1037/0003-066X.54.1.5

10.1097/00004703-199904000-00001

Gordon M, 1983, The Gordon Diagnostic System

10.1111/j.1469-8749.1998.tb15365.x

Greenberg LM, 2000, T. O.V.A. Test of Variables of Attention

10.1016/S0378-3782(98)00052-8

10.1001/jama.284.15.1973

Hack M, 1995, Long term developmental outcome of low birthweight infants. The Future of Children, 5, 176

10.1542/peds.106.3.554

Halsey CL, 1993, Extremely low birth weight children and their peers: A comparison of preschool performance, Pediatrics, 91, 807, 10.1542/peds.91.4.807

10.1001/archpedi.1996.02170330016003

10.1016/S0022-3476(05)83290-1

10.1016/S0378-3782(00)00105-5

Kato Klebanov P, 1998, The contribution of neighborhood and family income to developmental test scores over the first three years of life, Child Dev, 69, 1420, 10.1111/j.1467-8624.1998.tb06221.x

10.1542/peds.99.3.383

Korkman M, 1997, NEPSY

10.1037/0012-1649.33.6.1040

10.1016/0378-3782(93)90046-W

10.1016/S0911-6044(99)00016-0

10.1093/jpepsy/19.1.63

10.1097/00004703-199704000-00008

McCormick MC, 1989, Long‐term follow‐up of infants discharged from neonatal intensive care units, JAMA, 261, 1767, 10.1001/jama.1989.03420120105035

10.1542/peds.99.2.249

10.1542/peds.99.6.869

10.1016/S0022-3476(05)82415-1

10.1080/09297049508400227

10.1111/j.1469-8749.1993.tb11576.x

10.1097/00004703-200102000-00001

10.1111/j.1469-8749.1996.tb15048.x

10.1111/j.1651-2227.1991.tb11943.x

10.1016/S0031-3955(16)36580-4

10.1542/peds.102.2.308

10.1016/0028-3932(92)90095-4

10.1016/S0022-3476(05)82835-5

10.1111/j.1469-8749.1992.tb11455.x

10.1001/jama.1996.03540060029031

10.1542/peds.105.2.325

10.1542/peds.108.2.407

10.1111/1467-8624.00091

Semel E, 1995, Examiner's manual

Sheslow D, 1990, Wide Range Assessment of Memory and Learning. Administration manual

10.1007/BF02692194

10.1111/j.1469-8749.1996.tb15049.x

10.1016/S0002-9378(98)70037-7

10.1111/j.1469-8749.1990.tb08117.x

Taylor HG, 1998, Attention deficits in children with < 750 gram birth weight, Dev Neuropsychol, 4, 21

10.1207/S15326942DN1703_2

10.1111/1467-8624.00242

10.1016/S0146-0005(97)80064-X

10.1542/peds.105.6.1216

10.1097/00004703-199810000-00005

10.1136/fn.77.2.F85

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Wiley

Tập 8 Số 4

234-240

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