AIM We investigated whether preterm birth affects later visuocognitive function and, in particular, whether it affects global and configural perceptual processing differently.METHOD We compared the performance of 21 healthy preterm children (8 females, 13 males; mean age 7y 8mo, SD 8mo; mean gestational age 29.3wks, SD 1.9; mean birthweight 1186.5g, SD 377.2) with that of a matched term comparison group (8 females, 13 males; mean age 7y 11mo, SD 1y 1mo; mean gestational age >37wks; mean birthweight >2500g) in two perceptual tasks pinpointing differences between local and global and between local and configural processing.RESULTS There was no difference between preterm and term children's global processing, as both groups showed a bias towards global information (preterm: t[1,20]=2.6, p=0.01; comparison group: t[1,20]=3.0, p=0.01). By contrast, no such typical pattern of performance was found for configural processing as, unlike the comparison group (t[1,20]=7.1, p<0.001), preterm children preferentially relied on local rather than on configural information (t[1,20]=)15.4, p<0.001).INTERPRETATION These findings suggest that preterm birth may have a greater influence on the development of later perceptual skills than originally envisaged. We discuss the results according to the current and dominant view of the visual system.Advances in perinatal and neonatal medicine have led to a substantial increase in the survival rate of preterm infants. However, preterm birth remains a major cause of neurocognitive deficits in childhood.1 For instance, there is evidence for visuocognitive deficits in preterm children. At the visuoconstructive level they score significantly lower than children born at term in tasks such as copying figures, cutting-out geometric forms, building forms, and drawing.2 At the visuoperceptual level, early studies have suggested that preterm children without major neurological impairments perform remarkably well on most tests of visual perception.3 However, this assumption has been challenged by evidence of difficulties in depth perception, 4 complex visual search, 3 and motion processing.
5Visuoperceptual processing in preterm children is thus an issue that is far from being fully understood. This study aimed to investigate further whether perceptual abilities in preterm children develop atypically and whether this affects global and configural processing differently. For this, we compared the performance of healthy preterm children with that of a closely matched comparison group on two perceptual tasks previously found effective in pinpointing differences between local and global, and between local and configural processing strategies. 6 Configural processing refers to any process that takes into account the spatial interrelationships between stimulus components.7 It is contrasted with part-based processing, which is also called featural or local processing.7 Although local properties of a stimulus are clearly understood as the parts or elements composing it, global and configural properties of vis...