Objective To evaluate behavioral adjustment and its influential factors among school-aged children born with very low birth weight(VLBW). Method The BASICS Behavioral Adjustment Scale was used to investigate 235 very low birth weight children and 396 normal birth weight(NBW) children who studied in mainstream schools,parents of the children completed the questionaire. Results A total of 570 out of 631 questionaires were completed,with a response rate of 90.3%.Scores for VLBW group in dimension of achievement,self-relations,internal state and total scores were significantly higher than those of the NBW group (respectively 3.06±0.93,3.62±0.88,4.11±1.18 and 3.19±0.71 vs 2.29±0.85,2.27±0.78,2.45±0.86 and 2.31±0.75,P all<0.05).Multiple regression analysis showed that higer family economics status and main caregiver education level were predictors of better behavioral adjustment among the VLBW group.While those with neonatal intracranial hemorrhage and higer doses of corticosteroid had worse behavioral adjustment. Conclusion VLBW children have increased behavior problems,early evaluation and intervention is recommended.
Key words
very low birth weight /
behavioral adjustment /
children
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【基金项目】 广东省科技计划项目(2009B060700061)
【作者简介】 曾小璐(1972-),女,广东人,主治医师,主要研究方向为儿童危重症及发育行为。
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