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Neuropsychological Evaluation of High-Risk Children from Birth to Seven Years of Age

Published online by Cambridge University Press:  10 January 2013

Judith Nogueira Cruz
Affiliation:
Universidad de Granada (Spain)
Carolina Laynez Rubio
Affiliation:
Hospital Universitario San Cecilio (Spain)
Francisco Cruz Quintana*
Affiliation:
Universidad de Granada (Spain)
Miguel Perez Garcia
Affiliation:
Universidad de Granada (Spain)
*
Correspondence concerning this article should be addressed to Francisco Cruz Quintana. Dpto. de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología. 18071 Granada (Spain) Fax: +34-958243749. E-mail: fcruz@ugr.es

Abstract

High Risk Children (HRC) are those with an increased risk of abnormal development due to any factor affecting neurological growth. Those factors have been the focus of most studies in this area. However, little is known about their long-term consequences over the course of child development. Objectives: the goal was to study the cognitive, emotional and academic outcomes of 7-year-old children diagnosed as HRC at birth. Method: We compared 14 HRC and 20 healthy children using the WISC-IV, BASC and Brunet-Lezine tests. Results: HRC showed cognitive, emotional and academic deficits compared with healthy children. However, Brunet-Lezine scores obtained over the course of development (6, 12, 18 and 24 months) were not predictive of the children's' current psychological status. Conclusions: long-term follow-up with HRC should be maintained until 7 years of age, at which point an appropriate treatment should be implemented.

Los niños de alto riesgo (NAR) tienen un mayor riesgo de desarrollo anormal debido a factores relacionados con el crecimiento neurológico. Aunque se han investigado la influencia de muchos de estos factores, se conoce muy poco sobre su efecto a largo plazo en el desarrollo del niño. Objetivo: el objetivo fue investigar el estado cognitivo, emocional y académico de niños de 7 años diagnosticados como NAR en el momento del nacimiento. Metodología: Se compararon 14 niños diagnosticados como NAR con 20 niños sanos en los tests WISC-IV, el BASC y el Brunet-Lezine. Resultados: Los niños NAR mostraron deterioro cognitivo, emocional y académico comparados con los niños sanos. Por otro lado, las puntuaciones del Brunet-Lezine obtenidas a los 6, 12, 18 y 24 meses no fueron predictivas del estado psicológico de los niños a los 7 años. Conclusiones: el seguimiento a niños diagnosticados con NAR debería mantenerse, al menos, hasta los 7 años y deberían recibir un tratamiento adecuado.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2012

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References

Allen, M. (2008). Neurodevelopmental outcomes of preterm infants. Current Opinion in Neurology, 21, 123128. http://dx.doi.org/10.1097/WCO.0b013e3282f88bb4CrossRefGoogle ScholarPubMed
Arce-Casas, A., Iriondo-Sanz, M., Krauel-Vidal, J., Jiménez-González, R., Campistol-Plana, J., Poo-Argüelles, P., & Ibáñez, M. (2003). Seguimiento neurológico de recién nacidos menores de 1500 gramos a los dos años de edad [Neurological follow-up with newborns weighing less than 1,500 grams at two years of age]. Anales de Pediatría, 59, 454461.Google Scholar
Ashton, D. M., Lawrence, H. C. 3rd, Adams, N. L. 3rd, & Fleischman, A. R. (2009). Surgeon General's Conference on the Prevention of Preterm Birth. Obstetrics and Gynecology, 113, 925930.CrossRefGoogle ScholarPubMed
Aylward, G. Y. (2005). Neurodevelopmental outcomes of infants born prematurely. Journal of Developmental and Behavioral Pediatrics, 26, 427440. http://dx.doi.org/10.1097%2F00004703-200512000-00008CrossRefGoogle ScholarPubMed
Baron, I. S., Ahronovich, M. D., Erickson, K., Gidley-Larson, J. C., & Litman, F. R. (2009). Age-appropriate early school age neurobehavioral outcomes of extremely preterm birth without severe intraventricular hemorrhage: A single center experience. Early Human Development, 85, 191196. http://dx.doi.org/10.1016%2Fj.earlhumdev.2008.09.411CrossRefGoogle ScholarPubMed
Baron, I. S., Erickson, K., Ahronovich, M., Coulehan, K., Baker, R., & Litman, F. (2009). Visuospatial and verbal fluency relative deficits in ‘complicated’ late-preterm preschool children. Early Human Development, 85, 751754. http://dx.doi.org/10.1016%2Fj.earlhumdev.2009.10.002CrossRefGoogle ScholarPubMed
Baron, I. S., & Rey-Casserly, C. (2010). Extremely preterm birth outcome: a review of four decades of cognitive research. Neuropsychology Review, 20, 430452. http://dx.doi.org/10.1007/s11065-010-9132-zCrossRefGoogle ScholarPubMed
Bayless, S. J., Pitten-Cate, I. M., & Stevenson, J. (2008). Behavior difficulties and cognitive function in children born very prematurely. International Journal of Behavioral Development, 32, 199206. http://dx.doi.org/10.1177%2F0165025408089269CrossRefGoogle Scholar
Bayless, S. J., & Stevenson, J. (2007). Executive functions in school-age children born very prematurely. Early Human Development, 83, 247254. http://dx.doi.org/10.1016%2Fj.earlhumdev.2006.05.021CrossRefGoogle ScholarPubMed
Begega, A., Méndez-López, M., de Iscar, M. J., Cuesta-Izquierdo, M., Solís, G., Fernández-Colomer, B., … Arias, J. L. (2010). Assessment of the global intelligence and selective cognitive capacities in preterm 8-year-old children. Psicothema, 22, 648653.Google ScholarPubMed
Boardman, J. P., Craven, C., Valappil, S., Counsell, S. J., Dyet, L. E., Rueckert, D., … Edwards, A. D. (2010). A common neonatal image phenotype predicts adverse neurodevelopmental outcome in children born preterm. Neuro Image, 52, 409414. http://dx.doi.org/10.1016%2Fj.neuroimage.2010.04.261Google ScholarPubMed
Böhm, B., Lundequist, A., & Smedler, A. C. (2010). Visual-motor and executive functions in children born preterm: The Bender Visual Motor Gestalt Test revisited. Scandinavian Journal of Psychology, 51, 376384. http://dx.doi.org/10.1111%2Fj.1467-9450.2010.00818.xGoogle ScholarPubMed
Butler, R. W., Copeland, D. R., Fairclough, D. L., Mulhern, R. K., Katz, E. R., Kazak, A. E., … Sahler, O. Z. (2008). A multicenter, randomized clinical trial of a cognitive remediation program for childhood survivors of a pediatric malignancy. Journal of Consulting and Clinical Psychology, 76, 367378. http://dx.doi.org/10.1037%2F0022-006X.76.3.367CrossRefGoogle ScholarPubMed
Charkaluk, M. L., Truffert, P., Fily, A., Ancel, P. Y., & Pierrat, V. (2010). Neuro development of children born very preterm and free of severe disabilities: the Nord-Pas de Calais Epipage cohort study. Acta Paediatrica, 99(5), 684689. http://dx.doi.org/10.1111%2Fj.0803-5253.2010.01695.xCrossRefGoogle Scholar
de Haan, M., & Johnson, M. (2003). Mechanisms and theories of brain development. In de Haan, M. & Johnson, M. (Eds.), The cognitive neuroscience of development (pp. 118). New York, NY: Psychology Press.Google Scholar
Delobel-Ayoub, M., Arnaud, C., White-Koning, M., Casper, C., Pierrat, V., Garel, M., … The EPIPAGE Study Group. (2009). Behavioral problems and cognitive performance at 5 years of age after very preterm birth: The EPIPAGE Study. Pediatrics, 123, 14851492. http://dx.doi.org/10.1542/peds.2008-1216CrossRefGoogle ScholarPubMed
Denckla, M. B. (2005). Why assess motor functions “early and often?” Mental Retardation and Developmental Disabilities, 11, 3. http://dx.doi.org/10.1002%2Fmrdd.20054CrossRefGoogle Scholar
Eichenwald, E. C., & Stark, A. R. (2008). Management and outcomes of very low birth weight. The New England Journal of Medicine, 358, 17001711. http://dx.doi.org/10.1056%2FNEJMra0707601CrossRefGoogle ScholarPubMed
Fily, A., Pierrat, V., Delporte, V., Breart, G., & Truffert, P. (2006). Factors associated with neurodevelopmental outcome at 2 years after very preterm birth: the population-based Nord-Pas-de-Calais EPIPAGE cohort. Pediatrics. 117(2), 357366. http://dx.doi.org/10.1542%2Fpeds.2005-0236CrossRefGoogle ScholarPubMed
Geva, R., Eshel, R., Leitner, Y., Valevski, A., & Harel, S. (2006). Neuropsychological outcome of children with intrauterine growth restriction: A 9 year prospective study. Pediatrics, 118, 91100. http://dx.doi.org/10.1542/peds.2005-2343CrossRefGoogle ScholarPubMed
Gidley Larson, J. C., Baron, I. S., Erickson, K., Ahronovich, M. D., Baker, R., & Litman, F. R. (2011). Neuromotor outcomes at school age after extremely low birth weight: early detection of subtle signs. Neuropsychology, 25, 6675. http://dx.doi.org/10.1037/a0020478CrossRefGoogle ScholarPubMed
Grupo de Atención Temprana (GAT). (2000). Libro blanco de la atención temprana [White book of early intervention]. Madrid, Spain: Real Patronato sobre Discapacidad.Google Scholar
Hamilton, B. E., Martin, J. A., & Ventura, S. J. (2006). Births: Preliminary data for 2005. National Vital Statistics Reports, 55, 118.Google ScholarPubMed
Hoff Esbjorn, B., Hansen, B. M., Greisen, G., & Mortensen, E. L. (2006). Intellectual development in a Danish cohort of prematurely born preschool children: Specific or general difficulties? Journal of Developmental and Behavioral Pediatrics, 27, 477484.CrossRefGoogle ScholarPubMed
Indredavik, M. S., Torstein, V., Evensen, K. A. I., Skranes, J., Toradsen, G., & Brubakk, A. M. (2010). Perinatal risk and psychiatric outcome in adolescents born preterm with very low birth weight or term small for gestational age. Journal of Develomental and Behavioural Pediatrics, 31, 286294. http://dx.doi.org/10.1097%2FDBP.0b013e3181d7b1d3CrossRefGoogle ScholarPubMed
Jenkins, D. D., Chang, E., & Singh, I. (2009). Neuroprotective interventions: Is it too late?. Journal of Child eurology, 24, 12121219. http://dx.doi.org/10.1177%2F0883073809338412CrossRefGoogle ScholarPubMed
Johnston, M. V. (2009). Plasticity in the developing brain: Implications for rehabilitation. Developmental Disabilities Research Reviews, 15, 94101. http://dx.doi.org/10.1002%2Fddrr.64CrossRefGoogle ScholarPubMed
Johnson, S., Fawke, J., Hennessy, E., Rowell, V., Thomas, S., Wolke, D., …F Med Sci (2009). Neurodevelopmental disability through 11 years of age in children born before 26 weeks of gestation. Pediatrics, 124, 249257. http://dx.doi.org/10.1542%2Fpeds.2008-3743CrossRefGoogle ScholarPubMed
Josse, D. (1998). Brunet Lezine revisado: Escala de Desarrollo Psicomotor de la Primera Infancia [Brunet Lezine revised: Early Childhood Scale of Psychomotor Development]. Madrid, Spain: Symtec.Google Scholar
Kumar, P., Sanka, M., Sapra, S., Agarwal, R., Deorari, A., & Paul, V. (2008). Follow-up of High Risk Neonates. The Indian Journal of Pediatrics, 75, 479487. http://dx.doi.org/10.1002/14651858.CD004454.pub2CrossRefGoogle ScholarPubMed
Luu, T. M., Ment, L. R., Schneider, K. C., Katz, K. H., Allan, W. C., & Vohr, B. R. (2009). Lasting effects of preterm birth and neonatal brain hemorrhage at 12 years of age. Pediatrics, 123, 10371044. http://dx.doi.org/10.1542/peds.2008-1162CrossRefGoogle Scholar
Maguire, C. M., Walther, F. J., Sprij, A. J., Le Cessie, S., Wit, J. M., & Veen, S. (2009). Effects of individualized developmental care in a randomized trial of preterm infants <32 weeks. Pediatrics, 124, 10211030. http://dx.doi.org/10.1542%2Fpeds.2008-1881CrossRefGoogle Scholar
Martín-Iriondo, A., Poó, P., & Ibáñez, M. (2006). Seguimiento del recién nacido de riesgo [Follow-up with at-risk newborns]. An Pediatr Contin, 4, 344353.Google Scholar
Marret, S., Ancel, P. Y., Marchand, L., Charollais, A., Larroque, B., Thiriez, G., … Kaminski, M. (2009). Special outpatient services at 5 and 8 years in very-preterm children in the EPIPAGE study. Archives of Pediatrics & Adolescent Medicine, 16, 1727.CrossRefGoogle ScholarPubMed
McCornick, M., Brooks-Gunn, J., Buka, S., Goldman, J., Yu, J., Salganik, M., … & Casey, P. H. (2006). Early intervention in low birth weight premature infants: Results at 18 years of age for the infant health and development program. Pediatrics, 117, 771780. http://dx.doi.org/10.1542/peds.2005-1316CrossRefGoogle Scholar
Morse, S. B., Zheng, H., Tang, Y., & Roth, J. (2009). Early school-age outcomes of late preterm infants. Pediatrics, 123, 622629. http://dx.doi.org/10.1542%2Fpeds.2008-1405CrossRefGoogle ScholarPubMed
Narberhaus, A., Segarra, D., Caldú, X., Giménez, M., Junqué, C., Pueyo, R., & Botet, F. (2007). Gestational age at preterm birth in relation to corpus callosum and general cognitive outcome in adolescents. Journal of Child Neurology, 22, 761765. http://dx.doi.org/10.1177%2F0883073807304006CrossRefGoogle ScholarPubMed
Neubauer, A., Voss, W., & Kattner, E. (2008). Outcome of extremely low birth weight survivors at school age: The influence of perinatal parameters on neurodevelopment. European Journal of Pediatrics, 167, 8795. http://dx.doi.org/10.1007/s00431-007-0435-xCrossRefGoogle ScholarPubMed
Ortiz-Mantilla, S., Choudhury, N., Leevers, H., & Benasich, A. A. (2008). Understanding language and cognitive deficits in very low birth weight children. Developmental Psychobiology, 50, 107126. http://dx.doi.org/10.1002%2Fdev.20278CrossRefGoogle ScholarPubMed
Patra, K., Wilson-Costello, D., Taylor, H. G., Mercuri-Minich, N., & Hack, M. (2006). Grades I-II intraventricular hemorrhage in extremely low birth weight infants: Effects on neurodevelopment. Journal of Pediatrics, 149, 169173. http://dx.doi.org/10.1016%2Fj.jpeds.2006.04.002CrossRefGoogle ScholarPubMed
Pharoah, P. O. D., Stevenson, C. J., & West, C. R. (2003). General certificate of secondary education performance in very low birthweight infants. Archives of Disease in Childhood, 88, 295298. http://dx.doi.org/10.1136/adc.88.4.295CrossRefGoogle ScholarPubMed
Pritchard, V. E., Clark, C. A., Liberty, K., Champion, P. R., Wilson, K., & Woodward, L. J. (2009). Early school-based learning difficulties in children born very preterm. Early Human Development, 85, 215224. http://dx.doi.org/10.1016%2Fj.earlhumdev.2008.10.004CrossRefGoogle ScholarPubMed
Reynolds, C.R. (2004). Behavioral Assessment System for Children (BASC) [BASC: sistema de evaluación de la conducta de niños y adolescentes]. C. R. Reynolds & R. W. Kamphaus, 1992. Adaptación española, Javier González Marqués. Madrid: TEA.Google Scholar
Revage, V., Ruiz-Escusol, S., Fernández-Vallejo, M., Montejo-Granán, I., García-Íñiguez, J. P., Galve-Pradel, Z., … López-Pisón, J. (2008). El recién nacido neurológico en nuestro medio y su seguimiento [The neurological newborn in our environment and following-up with them]. Revista de eurología, 47(Sup. 1), 113.Google Scholar
Ricci, D., Romeo, D. M., Ataja, L., van Haastert, I. C., Cesarini, L., Maunu, J., … Mercuri, E. (2008). Neurological examination of preterm infants at term equivalent age. Early Human Development, 84, 751761. http://dx.doi.org/10.1016%2Fj.earlhumdev.2008.05.007CrossRefGoogle ScholarPubMed
Roze, E., Koenraad, N. J. A., Van Braeckel, K. N. J. A., van der Veere, C. N., Maathuis, C. G. B., Martijn, A., & Bos, A. F. (2009). Functional Outcome at School Age of Preterm Infants with Periven Hemorrhagic Infarction. Pediatrics, 123, 14931500. http://dx.doi.org/10.1542/peds.2008-1919CrossRefGoogle ScholarPubMed
Ruiz Extremera, A., Robles Vizcaino, C., Salvatierra Cuenca, M. T., Ocete, E., Laynez, C., Benítez, A., … Salmeron, J. (2001). Neurodevelopment of neonates in neonatal intensive care units and growth of surviving infants at age 2 years. Early Human Development, 65, 119132. http://dx.doi.org/10.1016/S0378-3782(01)00214-6CrossRefGoogle ScholarPubMed
Ruiz Extremera, A., & Robles Vizcaíno, C. (2004). Niños de Riesgo. Programas de Atención Temprana [At-risk Children. Early Intervention Programs]. Madrid, Spain: Ediciones Norma-Capitel.Google Scholar
Sansavini, A., Guarini, A., Justice, L. M., Savini, S., Broccoli, S., Alessandroni, R., & Faldella, G. (2010). Does preterm birth increase a child's risk for language impairment?. Early Human Development, 86, 765772.CrossRefGoogle ScholarPubMed
Saigal, S., Pinelli, J., Hoult, L., Kim, M. M., & Boyle, M. (2003). Psychopathology and social competencies of adolescents who were extremely low birth weight. Pediatrics, 111, 969975. http://dx.doi.org/10.1542%2Fpeds.111.5.969CrossRefGoogle ScholarPubMed
Skrablin, S., Maurac, I., Banovic, V., & Bosnjak-Nadj, K. (2009). Perinatal factors associated with the neurologic impairment of children born preterm. International Journal of Gynaecology and Obstetrics, 102, 1218. http://dx.doi.org/10.1016%2Fj.ijgo.2008.02.008CrossRefGoogle Scholar
Stiles, J. (2008). The fundamentals of brain development: Integrating nature and nurture. Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
Tyson, J. E., & Saigal, S. (2005). Outcomes for extremely low-birthweight infants: Disappointing news. Journal of the American Medical Association, 294, 371373.CrossRefGoogle ScholarPubMed
Wilson-Costello, D., Friedman, H., Minich, N., Siner, B., Taylor, G., Schluchter, M., & Hack, M. (2007). Improved neurodevelopmental outcomes for extremely low birth weight infants in 2000–2002. Pediatrics, 119, 3745. http://dx.doi.org/10.1542%2Fpeds.2006-1416CrossRefGoogle ScholarPubMed
Wechsler, D. (2010). Wechsler Intelligence Scale for Chlidren IV (WISC-IV) [Escala de inteligencia de Wechsler para niños-IV]. (2003) Adaptación española. Departamento de I+D TEA Madrid: Tea.Google Scholar
Wocadlo, C., & Rieger, I. (2007). Phonology, rapid naming and academic achievement in very preterm children at eight years of age. Early Human Development, 83, 367377. http://dx.doi.org/10.1016%2Fj.earlhumdev.2006.08.001CrossRefGoogle ScholarPubMed
Zampini, L., & D'Odorico, L. (2009). Communicative gestures and vocabulary development in 36-month-old children with Down's Syndrome. International Journal of Language & Communication Disorders, 44(6), 10631073. http://dx.doi.org/10.3109%2F13682820802398288Google ScholarPubMed