Resilience in Extremely Preterm/Extremely Low Birth Weight Kindergarten Children. 2019

H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
The Research Institute at Nationwide Children's Hospital,Center for Biobehavioral Health, andDepartment of Pediatrics,The Ohio State University,Columbus,Ohio.

Research on developmental outcomes of preterm birth has traditionally focused on adverse effects. This study investigated the prevalence and correlates of resilience in 146 extremely preterm/extremely low birth weight (EPT/ELBW) children (gestational age <28 weeks and/or birth weight <1000 g) attending kindergarten and 111 term-born normal birth weight (NBW) controls. Adaptive competence (i.e., "resilience" in the EPT/ELBW group) was defined by scores within grade expectations on achievement tests and the absence of clinically elevated parent ratings of child behavior problems. The "adaptive" children who met these criteria were compared to the "maladaptive" children who did not on child and family characteristics. Additional analyses were conducted to assess the conjoint effects of group (ELBW vs. NBW) and family factors on adaptive competence. A substantial minority of the EPT/ELBW group (45%) were competent compared to a majority of NBW controls (73%), odds ratio (95% confidence interval)=0.26 (0.15, 0.45), p<.001. Adaptive competence was associated with higher cognitive skills, more favorable ratings of behavior and learning not used to define adaptive competence, and more advantaged family environments in both groups, as well as with a lower rate of earlier neurodevelopmental impairment in the EPT/ELBW group. Higher socioeconomic status and more favorable proximal home environments were associated with competence independent of group, and group differences in competence persisted across the next two school years. The findings document resilience in kindergarten children with extreme prematurity and highlight the role of environmental factors as potential influences on outcome. (JINS, 2019, 25, 362-374).

UI MeSH Term Description Entries
D008297 Male Males
D002657 Child Development The continuous sequential physiological and psychological maturing of an individual from birth up to but not including ADOLESCENCE. Infant Development,Development, Child,Development, Infant
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003071 Cognition Intellectual or mental process whereby an organism obtains knowledge. Cognitive Function,Cognitions,Cognitive Functions,Function, Cognitive,Functions, Cognitive
D005190 Family A social group consisting of parents or parent substitutes and children. Family Life Cycles,Family Members,Family Life Cycle,Family Research,Filiation,Kinship Networks,Relatives,Families,Family Member,Kinship Network,Life Cycle, Family,Life Cycles, Family,Network, Kinship,Networks, Kinship,Research, Family
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D052577 Infant, Extremely Low Birth Weight An infant whose weight at birth is less than 1000 grams (2.2 lbs), regardless of GESTATIONAL AGE. Extremely Low Birth Weight Infant
D055500 Resilience, Psychological The human ability to adapt in the face of tragedy, trauma, adversity, hardship, and ongoing significant life stressors. Psychological Resilient Responses,Resilience,Resiliency,Resiliency, Psychological,Resilient Responses, Psychological,Stress Immunity,Immunity, Stress,Psychological Resilience,Psychological Resiliency,Psychological Resilient Response,Resiliences,Resiliencies,Resilient Response, Psychological,Response, Psychological Resilient,Stress Immunities
D062071 Infant, Extremely Premature A human infant born before 28 weeks of GESTATION. Extremely Premature Infants,Extremely Preterm Infants,Extremely Premature Infant,Extremely Preterm Infant,Infant, Extremely Preterm,Infants, Extremely Premature,Infants, Extremely Preterm,Premature Infant, Extremely,Premature Infants, Extremely,Preterm Infant, Extremely,Preterm Infants, Extremely

Related Publications

H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
April 2013, Pediatrics,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
December 2014, Early human development,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
January 2011, Developmental neuropsychology,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
January 2014, Neuropsychiatric disease and treatment,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
January 2018, Journal of perinatology : official journal of the California Perinatal Association,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
January 2009, The Turkish journal of pediatrics,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
February 2020, Human brain mapping,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
September 2013, Pediatrics,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
January 2002, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN,
H Gerry Taylor, and Nori Minich, and Mark Schluchter, and Kimberly Andrews Espy, and Nancy Klein
September 2015, Journal of pediatric gastroenterology and nutrition,
Copied contents to your clipboard!