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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Effects of Neonatal Pain and Temperament on Attention Problems in Toddlers Born Preterm

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Autor(es):
Gaspardo, Claudia M. [1] ; Cassiano, Rafaela G. M. [1] ; Gracioli, Sofia M. A. [1, 2] ; Furini, Guilherme C. B. [1] ; Linhares, Maria Beatriz M. [1]
Número total de Autores: 5
Afiliação do(s) autor(es):
[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Neurosci & Behav, BR-05508 Sao Paulo - Brazil
[2] Univ Sao Paulo, Fac Philosophy Sci & Letters, Dept Psychol, BR-05508 Sao Paulo - Brazil
Número total de Afiliações: 2
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF PEDIATRIC PSYCHOLOGY; v. 43, n. 3, SI, p. 342-351, APR 2018.
Citações Web of Science: 4
Resumo

Objective To examine the effects of individual characteristics of neonates and neonatal pain-related stress on attention problems and externalizing behavior problems of toddlers born preterm, analyzing the moderating effects of the dispositional traits of temperament. Methods The sample included 62 toddlers aged 18-36 months and their mothers. The mothers were interviewed using the Child Behavior Checklist 1.5-5 for toddlers' attention and externalizing behavior problems assessment, the Early Childhood Behavior Questionnaire for toddlers' temperament assessment, and the Adult Temperament Questionnaire for their temperament assessment. The Neonatal Infant Stressor Scale analyzed the number of pain-related stress events during neonatal intensive care unit (NICU) hospitalization recorded in the medical charts. Statistical descriptive, correlation, and multiple linear regression analyses were performed. Results High neonatal pain-related stress total index, associated with toddler's temperament with less Effortful Control, and mother's temperament with high Surgency explained 23% variability of the attention problems. Otherwise, the externalizing behavior problems were explained by temperament, but not by neonatal pain-related stress. Conclusions The findings support the impact of neonatal pain experiences, and current toddlers' and mothers' temperament characterized by poorer self-regulation on attention problems in toddlers born preterm. Developmental care in the NICU and follow-up programs after discharge are recommended to promote regulated temperament of the mother-child dyads, aiming to prevent attentional problems in toddlers born preterm. (AU)

Processo FAPESP: 15/24117-0 - Reatividade biocomportamental à dor em recém-nascidos pré-termo e exposição ao estresse ambiental da UTI neonatal
Beneficiário:Guilherme Cordaro Bucker Furini
Linha de fomento: Bolsas no Brasil - Iniciação Científica
Processo FAPESP: 13/12509-5 - Impacto do risco neonatal e do temperamento no comportamento de crianças nascidas pré-termo na fase pré-escolar
Beneficiário:Rafaela Guilherme Monte Cassiano
Linha de fomento: Bolsas no Brasil - Doutorado