J Korean Acad Child Adolesc Psychiatry.  2019 Jan;30(1):34-41. 10.5765/jkacap.180024.

Cognitive Function, Emotional and Behavioral Problems, and Temperament of Premature Children

Affiliations
  • 1Department of Psychiatry, Hanyang University Hospital, Seoul, Korea. ahndh@hanyang.ac.kr
  • 2Department of Psychiatry, Hanyang University College of Medicine, Seoul, Korea.
  • 3Department of Pediatrics, Hanyang University College of Medicine, Seoul, Korea.
  • 4Department of Child & Family Welfare, University of Ulsan, Ulsan, Korea.

Abstract


OBJECTIVES
We aimed to compare preterm, neurodevelopmentally disordered and healthy full-term children.
METHODS
We enrolled 47 children who were born preterm, 40 neurodevelopmentally disordered children, and 80 healthy children as control participants, in order to assess the cognitive functioning and the risk of behavioral problems at the age of 5. Children were assessed using the Korean Wechsler Preschool and Primary Scale of Intelligence-4th edition (K-WPPSI-IV), the Child Behavior Checklist (CBCL), and the Temperament and Character Inventory (TCI).
RESULTS
The mean K-WPPSI-IV score of the preterm group was 87.19±17.36, which was significantly higher than that of the neurodevelopmental disorder group (69.98±28.63; p < 0.001) but lower than that of the control group (107.74±14.21; p < 0.001). The cumulative CBCL scores of the preterm children were not significantly different from those of the control group. Additionally, the TCI scores for reward dependence of the preterm children were higher than those of the control group.
CONCLUSION
The cognitive performance of preterm infants was lower than that of healthy full-term infants at the age of 5, and there was an association between slower growth and decreased cognitive ability.

Keyword

Preterm; Korean Wechsler Preschool and Primary Scale of Intelligence; Cognitive function; Emotional and behavioral problems; Temperament

MeSH Terms

Checklist
Child Behavior
Child*
Cognition*
Humans
Infant
Infant, Newborn
Infant, Premature
Neurodevelopmental Disorders
Problem Behavior*
Reward
Temperament*
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