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Development of emotional and behavioral regulation in children born extremely preterm and very preterm: biological and social influences
Authors:Clark Caron A C  Woodward Lianne J  Horwood L John  Moor Stephanie
Institution:Canterbury Child Development Research Group, Department of Psychology, University of Canterbury, Christchurch, New Zealand. cac65@student.canterbury.ac.nz
Abstract:This study describes the development of emotional and behavioral regulation in a regional cohort of children born extremely preterm (<28 weeks gestational age, n = 39), very preterm (<34 weeks gestational age, n = 56), and full term (n = 103). At 2 and 4 years, children born at younger gestational ages demonstrated poorer self-regulation across multiple contexts spanning observed interactions, formal cognitive testing, and parental report of child behavior at home. Among children born preterm, the 2 strongest predictors of impairments in self-regulation were the presence of moderate-to-severe cerebral white matter abnormalities on neonatal magnetic resonance and a less sensitive parenting style when children were aged 2 years. Findings support the importance of early neurological development and parenting for developing regulation in children born very preterm.
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