Arousal, Attention, and Neurobehavioral Assessment in the Neonatal Period: Implications for Intervention and Policy

Autor/inn/en	Gardner, Judith M.; Karmel, Bernard Z.; Freedland, Robert L.; Lennon, Elizabeth M.; Flory, Michael J.; Miroshnichenko, Inna; Phan, Ha T. T.; Barone, Anthony; Harin, Anantham
Titel	Arousal, Attention, and Neurobehavioral Assessment in the Neonatal Period: Implications for Intervention and Policy
Quelle	In: Journal of Policy and Practice in Intellectual Disabilities, 3 (2006) 1, S.22-32 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1741-1122
DOI	10.1111/j.1741-1130.2006.00049.x
Schlagwörter	Early Intervention; Injuries; Neonates; Anatomy; Child Behavior; Attention Span; Arousal Patterns; Neurological Organization; Behavior Problems; Classification; Neurological Impairments; Brain; Evaluation Methods; Child Development; At Risk Persons; Age Differences; Predictor Variables; Bayley Scales of Infant Development + Suchen Sie Ihr Suchwort? Neugeborenes Kind; Anatomie; Classification system; Klassifikation; Klassifikationssystem; Neurodegenerative Erkrankung; Gehirn; Kindesentwicklung; Risikogruppe; Age; Difference; Age difference; Altersunterschied; Prädiktor
Abstract	Neonatal assessments should provide valid estimates of behavior and neurological status, reflect recovery from acute effects, predict subsequent outcome, and point to specific intervention strategies for any problems noted. The authors report relations among measures designed to evaluate early behavioral capabilities and dysfunctions in areas frequently disrupted by central nervous system (CNS) injury that involve arousal-modulated attention and elicited and spontaneous movements, to each other and to the Bayley Scales of Infant Development over the first 2 years. Infants were classified into four CNS injury groups based on auditory brainstem responses and cranial ultrasonography. CNS injury was associated with all behavioral measures in neonates, but the strength of the relationships changed for each over time, as did the degree and time-course for performance recovery. CNS findings alone were insufficient to predict later outcome. Early behavioral evaluations were better predictors into the second year and indicated that: (1) high-risk infants who performed normally as neonates had normal development; (2) those with early transient abnormalities appeared to normalize by 4 months but started to decline by 13-16 months; and (3) consistently abnormal early behavior predicted the worst outcome. Use of multiple measures in the neonatal period and repeated assessments across early infancy provide a useful and accurate approach for evaluating recovery from CNS injury, predicting later mental and motor performance and helping to design early intervention strategies. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10