Parents’ Report of Sensory Responsiveness and Temperament in Preterm Infants

Case-Smith, Jane; Butcher, Linda; Reed, Diana

doi:10.5014/ajot.52.7.547

Cited by 70 publications

(61 citation statements)

References 31 publications

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“…[1][2][3][4] Because sensory experience is the basis for much of learning in infancy, sensory problems that affect preterm infants may contribute to their high incidence of later developmental disorders. Although hearing and vision impairments are well-documented sensory outcomes of prematurity, abnormalities in sensory processing (the organisation of sensation for use) 5 and sensory reactivity (an observable and immediate modulation of behaviour in response to a sensory stimulus) [6][7][8] are more difficult to identify and characterise.…”

Section: Introductionmentioning

confidence: 99%

Abnormal sensory reactivity in preterm infants during the first year correlates with adverse neurodevelopmental outcomes at 2 years of age

Chorna

Solomon

Slaughter

et al. 2014

Arch Dis Child Fetal Neonatal Ed

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Background Sensory experience is the basis for learning in infancy. In older children, abnormal sensory reactivity is associated with behavioural and developmental disorders. We hypothesised that in preterm infants, abnormal sensory reactivity during infancy would be associated with perinatal characteristics and correlate with 2-year neurodevelopmental outcomes. Methods We conducted a prospective observational study of infants with birth weight ≤1500 g using the Test of Sensory Function in Infants (TSFI) in the first year. Infants with gestational age ≤30 weeks were tested with the Bayley Scales of Infant and Toddler Development III (BSID III) at 24 months. Results Of the 72 participants evaluated at 4–12 months corrected age (median 8 months), 59 (82%) had a least one TSFI score concerning for abnormal sensory reactivity. Lower gestational age was associated with abnormal reactivity to deep pressure and vestibular stimulation (p<0.001). Poor ocular-motor control predicted worse cognitive and motor scores in early childhood (OR 16.7; p=0.004), but was tightly correlated to the presence of severe white matter injury. Poor adaptive motor function in response to tactile stimuli predicted worse BSID III motor (p=0.01) and language scores (p=0.04) at 2 years, even after adjusting for confounders. Conclusions Abnormal sensory reactivity is common in preterm infants; is associated with immaturity at birth, severe white matter injury and lower primary caregiver education; and predicts neurodevelopmental delays. Early identification of abnormal sensory reactivity of very preterm infants may promote parental support and education and may facilitate improved neurodevelopment.

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Section: Introductionmentioning

confidence: 99%

Abnormal sensory reactivity in preterm infants during the first year correlates with adverse neurodevelopmental outcomes at 2 years of age

Chorna

Solomon

Slaughter

et al. 2014

Arch Dis Child Fetal Neonatal Ed

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“…Vários estudos têm mostrado que os bebés prematuros apresentam problemas na responsividade sensorial e no temperamento (CaseSmith, Butcher & Reed, 1998 (Thompson & Khot, 1985), mas à custa de que consequências, poderia perguntar-se? Os procedimentos a que são sujeitos os bebés nas UCI podem ser extremamente stressantes (Field, 1990a(Field, , 1990b.…”

Section: O Ambiente Dos Bebés Prematuros E De Baixo Pesounclassified

Processo gravídico, parto e prematuridade: Uma discussão teórica do ponto de vista do psicólogo

Campos

2012

Análise Psicológica

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A gravidez pode ser encarada como um processo que se associa com transformações biológicas, fisiológicas, psicológicas e sociais que ocorrem ininterruptamente. É um momento de crise e de crescimento que pode ser extremamente enriquecedor para a mulher. Como refere Justo (1994), a gravidez pode ser vista como uma situação de preparação física e psicológica para o papel de mãe, onde tem início o relacionamento mãe-filho. Este último aspecto é salientado por Wertheim e Morris (1987), ao afirmarem que o desenvolvimento embrionário e fetal, e o desenvolvimento da relação parental ocorrem em sintonia se tudo estiver a decorrer normalmente.Bibring, Dwyer, Huntigton e Valenstein (1961) referem, num artigo clássico sobre os aspectos psicológicos da gravidez, que esta pode ser encarada como um período de crise maturacional, determinada sobretudo biologicamente, como a puberdade ou a menopausa, envolvendo modificações endócrinas, somáticas e psicológicas. «Estas crises representam passos importantes no desenvolvimento e têm em comum uma série característica de fenómenos psicoló-gicos. Nos 3 períodos novas tarefas adaptativas e libidinais confrontam o indivíduo.... As 3 crises parecem fazer reviver os conflitos não resolvidos de períodos anteriores do desenvolvimento que requerem soluções novas e diferentes» (p. 12). São pontos de viragem na vida do indivíduo. Nestas situações verifica-se uma interdependên-cia entre modificações biofisiológicas e psicoló-gicas, sendo o processo adaptativo inevitável e a mudança irreversível; uma vez mãe já não se pode deixar de sê-lo (Bibring et al., 1961). Como afirma Justo (1994), «seja qual for o resultado de uma gravidez... na vida da mulher ou do casal, nada vai voltar a ser como antes» (p. 108). Segundo Bibring et al. (1961), a adaptação à fase de vida que se inicia com a crise, (maternidade no caso da gravidez), depende da resolução dessa crise, isto é, da «reorganização maturacional do desequilíbrio» (p. 12). A natureza deste desequilíbrio é responsável, segundo estes autores, pela facilidade com que a grávida elege uma figura de transferência e pela facilidade com que a psicoterapia promove uma estabiliza- 15

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“…Preparing the infant for impending touch also promotes trust and supports the child's emerging sense of self and ultimate behavioural competency [21]. Enduring continual approaches that cause sudden, painful or startling responses, may lead to hypo-responsive infant behaviours that are commonly seen in graduates of the NICU, and are possibly a further factor influencing behavioural outcomes [22].…”

Section: Step 3 Initiating Touch (Permission)mentioning

confidence: 99%

Positive Touch and massage in the neonatal unit: a British approach

Bond¹

2002

Seminars in Neonatology

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There is now a general trend towards a more baby friendly, family centred approach in the Neonatal Unit. Aspects of that approach -including positive touch and massage -are gaining in popularity. This has caused much debate due to the ambiguity surrounding the implementation and validity of the interventions, Here the impact of these complementary practices (not to be confused with complementary therapies) is discussed A review of the author's approach and potential guidelines for implementation is provided.

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Parents’ Report of Sensory Responsiveness and Temperament in Preterm Infants

Abstract: This study supports the findings of others that preterm infants have mild problems in sensory responsiveness and temperament. Correlational results do not support a definitive relationship between parents' reports of their infants' sensory responsiveness and developmental function.

Cited by 70 publications

References 31 publications

Abnormal sensory reactivity in preterm infants during the first year correlates with adverse neurodevelopmental outcomes at 2 years of age

Abnormal sensory reactivity in preterm infants during the first year correlates with adverse neurodevelopmental outcomes at 2 years of age

Processo gravídico, parto e prematuridade: Uma discussão teórica do ponto de vista do psicólogo

Positive Touch and massage in the neonatal unit: a British approach

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