Predicting cognitive development and early symptoms of autism spectrum disorder in preterm children: The value of temperament and sensory processing |
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| Affiliation: | 1. Department of Pediatrics, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Aichi, Japan;2. Center for Human Development and Family Science, Department of Pediatrics and Neonatology, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan;3. Department of Education, Gifu Shotoku Gakuen University, Gifu, Japan;4. Department of Pediatrics, Ichinomiya Medical Treatment & Habilitation Center, Aichi, Japan;1. Department of Medical Psychology, VU University Medical Center, de Boelelaan 1118, 1081 HV, Amsterdam, The Netherlands;2. Department of Pediatrics, Emma Children''s Hospital, Academic Medical Center, PO Box 22660, 1100 DD, Amsterdam, The Netherlands;3. Psychosocial Department, Emma Children''s Hospital, Academic Medical Center, PO Box 22660, 1100 DD Amsterdam, The Netherlands;4. Department of Pediatrics, VU University Medical Center, Amsterdam, de Boelelaan 1118, 1081 HV Amsterdam, The Netherlands;5. Clinical Neuropsychology Section, Vrije Universiteit Amsterdam, van der Boechorstraat 1, 1081 BT Amsterdam, The Netherlands |
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| Abstract: | This study was the first to longitudinally explore the extent to which early temperament and sensory processing were of predictive value for cognitive development and Autism Spectrum Disorder (ASD) symptomatology in a sample of preterm children (N = 50, 22 girls, mean gestational age 27 weeks). At the corrected ages of 10, 18, and 24 months, sensory processing and temperament were assessed, as were cognitive development and ASD symptoms at 36 months. Better cognitive development was predicted by fewer hospitalisation days at birth and by lower Activity Level at 18 months. Temperamental subscales of Negative Affect showed associations with both parent-reported and observational measures of ASD symptomatology, whereas sensory processing only had predictive value for parent-reported symptoms of ASD. The usefulness of temperament and sensory processing for prediction of ASD symptom severity and cognitive outcomes became clear in the second year of life. The results indicate that this area of research is worth additional investigation in the extreme and very preterm population, to explore in further detail whether these two concepts might be able to provide information about which preterms are more likely to develop ASD or cognitive impairments. |
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| Keywords: | Very preterm infants Autism spectrum disorder Temperament Sensory processing Cognitive development |
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