Interrelations between maternal smoking during pregnancy,birth weight and sociodemographic factors in the prediction of early cognitive abilities

Maternal prenatal smoking, birth weight and sociodemographic factors were investigated in relation to cognitive abilities of 1544 children (aged 3.5 years) participating in the Québec Longitudinal Study of Children's Development. The Peabody Picture Vocabulary Test (PPVT) was used to assess verbal ability, the Wechsler Preschool and Primary Scale of Intelligence‐Revised (WPPSI‐R) block design test to assess visuospatial ability, and the Visually Cued Recall (VCR) task to assess short‐term memory. Prenatal smoking was related to performance on the WPPSI‐R, the PPVT, and the VCR, although it did not independently predict any cognitive ability after maternal education was taken into account. Birth weight was a more robust predictor of all outcome measures and independently predicted VCR‐performance. Birth weight interacted significantly with family income and maternal education in predicting visuospatial ability, indicating a greater influence of birth weight under relatively poor socio‐economic conditions. Parenting and family functioning mediated associations between maternal education/family income and cognitive task performance under different birth weight conditions, although there were indications for stronger effects under relatively low birth weight. We conclude that investigations of moderating and mediating effects can provide insights into which children are most at risk of cognitive impairment and might benefit most from interventions. Copyright © 2006 John Wiley & Sons, Ltd.     

A comparative analysis of the validity of several approaches to the scoring of the behavior of the preterm infant

A group of very low birthweight preterm infants (mean WEIGHT = 1193.6 g; mean gestational AGE = 31.1 weeks) were examined with the PREMIE. The PREMIE is a modification of the scoring system of the full term Brazelton Neonatal Behavioral Assessment (BNBAS) examination for use with preterm infants. Infants were assessed during the acute phase of cardio-respiratory illness (mean AGE = 7 days) and during the recovery phase (mean AGE = 22 days). Many modifications in procedure were required. Several analyses were performed to assess the redundancy and the comparative validity of the scoring systems of the PREMIE, the BNBAS, and the BNBAS + (the BNBAS plus a set of five additional preterm items). Results indicated that the three scoring systems were highly redundant, that they were equally related to physiologic and clinical variables, and that they were similar in their sensitivity to behavioral change and stability. Overall the results offered little in the way of differentiating among these three scoring systems with this group of infants, raising doubts about the need to use the PREMIE or other scoring systems like it for many research purposes.     

The influence of geographic region on the seasonality of early motor development

This investigation was conducted to determine whether the strong seasonality effect on infant motor development that has been noted in moderate climates would be replicated with infants born in a geographic region with more extreme conditions. One hundred and forty-five full-term infants (72 males, 73 females) born in Edmonton, alberta were assessed using the Alberta Infant Motor Scale (AIMS) at 7 months of age. No seasonality effects on the AIMS total scores or the prone, supine, sitting, or standing subsection scores were detected. A weak and statistically non-significant correlation was obtained between the average monthly AIMS scores and the average monthly temperatures 7 months after birth. These results suggest that extreme climatic conditions in urban geographic regions may dampen effects of season of birth on infant motor development.     

The effect of mother-infant skin-to-skin contact on plasma cortisol and β-endorphin concentrations in preterm newborns

The aim of this study was to assess the effect of mother-infant skin-to-skin contact on plasma β- endorphin and cortisol concentrations in stable, preterm infants on a newborn intensive care unit. Blood samples were obtained before and at the end of a 20-min period of skin-to-skin contact. Similarly paired samples, obtained at the same times and after the same interval, without skin-to- skin contact, were obtained on another day and served as controls. Both cortisol and β-endorphin concentrations fell significantly after the skin-to-skin session (cortisol: geometric mean change 66%, p=0.008; β-endorphin: geometric mean change 74%, p=0.002). There was also a significant fall in cortisol levels during the control session (geometric mean change 78%, p=0.02), in contrast to β-endorphin levels, in which there was no significant change. Analysis of variance showed that the fall in β-endorphin, but not the fall in cortisol, during the skin-to-skin session was significant when compared with the control session. These results emphasize the hormonal responsiveness of the preterm newborn to relatively minor interventions. We conclude that maternal skin-to-skin contact results in a significant reduction in circulating β-endorphin in the newborn; there was no evidence of any adverse effect.     

Birth Order Effects and Rebelliousness: Political Activism and Involvement with Marijuana

Frank Sulloway (1996) has claimed that later-borns are more likely to rebel against the status quo than are firstborns. The two studies reported here attempt to examine more fully Sulloway's claims about rebelliousness. The studies draw on archival data from studies of high school and college students in a midwestern state between 1969 and 1982. The current studies compare the effects of birth order, gender, family size, and father's education on two self-report measures: participation in protests and demonstrations, and involvement with marijuana. The data on involvement with marijuana provided support for Sulloway's thesis that later-borns are more rebellious than firstborns, but the data on participation in protests and demonstrations did not. These mixed findings, which contribute to the ongoing debate about Sulloway's theory, are discussed.     

早期经验对儿童心理发展的影响

儿童早期经验包括产前环境、出生时身体状况、出生后家庭养育和学前教育经历等,这些方面对儿童心理能力发展有重要而长期的影响。该文基于国外新近开展的大型纵向研究,对胎儿期母亲的情绪行为特征,出生状况,出生后母亲工作状况,父亲教养行为,学前教育状况等对儿童认知能力、学业成就、社会行为等的预测作用,以及种族、性别、家庭经济地位等背景因素在两者之间的调节作用进行了介绍,最后对我国设计和开展相关研究提出了建议。     

产前诊断中的伦理学问题

探讨我国产前诊断技术开展的现状,阐述产前诊断面临的伦理道德问题及其相应的伦理学处理原则,建议开创一个伦理学评价体系,使产前诊断向着合理、完善的方向发展,从而达到提高人口出生质量、确保母婴健康的社会共同目标。