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Cognition, Language, And Behavior In Children Born Prematurely, With and Without White Matter Injury

Children born prematurely are at risk for perinatal brain injuries (PBI). Both prematurity and PBI confer risk for neurodevelopmental disabilities. We investigated the linguistic and behavioral characteristics of children born prematurely, with and without perinatal brain injuries, at ages 10-15. In total, 16 children born preterm participated. Eight were born at 30-37 weeks and eight were born earlier than 30 weeks gestation. Six children reportedly had PBI and ten children reported no PBI. Clinical tools were used to measure global language skills, vocabulary, reading and comprehension and grammar. Parent questionnaires were used to assess behavior. Children born after 29 weeks of age scored significantly higher on tests for receptive vocabulary, language memory, reading and passage comprehension than children born before 30 weeks gestation (p is less than or equal to 0.05). Scores reported for anxiety and depression symptoms were higher for the children born before 30 weeks than scores reported for the children born after 29 weeks. The mean scores of children with no PBI were significantly higher for expressive language and passage compehension than the mean scores of children with PBI. There were no significant behavior differences between the children with and without PBI. There were no differences between the children with and without PBI. There were no differences measured between groups, by PBI or gestational age, for tests of grammar and sentence comprehension, accuracy and reaction time. The results suggest that children with PBI may have difficulty with reading comprehension and expressive language and that gestational age and not PBI specifically, may have a greater effect on linguistics and behavior. Identifying long-term consequences of prematurity is relevant to public health because it will help a growing population of children at risk for neurodeveloopmental disabilities benefit from early intervention.

Identiferoai:union.ndltd.org:PITT/oai:PITTETD:etd-04122007-180755
Date26 June 2007
CreatorsBeck, Megahn Marie
ContributorsEleanor Feingold, Elizabeth Gettig, Heidi M. Feldman
PublisherUniversity of Pittsburgh
Source SetsUniversity of Pittsburgh
LanguageEnglish
Detected LanguageEnglish
Typetext
Formatapplication/pdf
Sourcehttp://etd.library.pitt.edu/ETD/available/etd-04122007-180755/
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