Neuropsychological development in late preterm infants: the potential role of parent-child interaction

Jia-Cai ZHANG, Yan LUO, Yan ZHU, Fan ZHANG, Xin ZHOU, Xiu-Li CHEN

Chinese Journal of Contemporary Pediatrics ›› 2026, Vol. 28 ›› Issue (6) : 686-694.

PDF(1650 KB)
PDF(1650 KB)
Chinese Journal of Contemporary Pediatrics ›› 2026, Vol. 28 ›› Issue (6) : 686-694. DOI: 10.7499/j.issn.1008-8830.2511008
CLINICAL RESEARCH

Neuropsychological development in late preterm infants: the potential role of parent-child interaction

Author information +
History +

Abstract

Objective To understand the neuropsychological development status and catch-up characteristics of late preterm infants (LPI), and to explore the longitudinal association between parent-child interaction and neuropsychological development. Methods A retrospective cohort study was conducted on 888 children who completed regular follow-ups at corrected ages of 12 to 36 months at the Department of Child Healthcare of Guiyang Maternal and Child Health Hospital between January 2022 and August 2025. Participants were divided into LPI group (n=215) and full-term group (n=673) based on gestational age. Neuropsychological development and parent-child interaction were assessed at corrected ages of 12, 24, and 36 months using the Gesell Developmental Schedule and the Parent-Child Interaction Scale. Linear mixed-effects models were employed to examine the longitudinal effects of parent-child interaction on neuropsychological development. Results At corrected age 12 months, the LPI group showed the highest rate of developmental delay in the language domain (12.6%, 27/215), followed by gross motor delay (8.8%, 19/215). At corrected ages 12 and 24 months, the DQ scores of all developmental domains in the LPI group were significantly lower than those in the full-term group (P<0.05). By corrected age 36 months, except for language, no significant differences were found between groups in other domains (P>0.05). At corrected age 12 months, parent-child interaction was positively correlated with language DQ in the LPI group (B=0.172) and personal-social DQ in the full-term group (B=0.097) (P<0.05). At corrected age 24 months, parent-child interaction was positively correlated with all DQ domains in the LPI group (Badaptive behavior=0.282, Bgross motor=0.309, Bfine motor=0.227, Blanguage=0.448, Bpersonal-social=0.271, Btotal DQ=0.302). In the full-term group, correlations were found in gross motor (B=0.117), language (B=0.253), and total DQ (B=0.118) domains (P<0.05). At corrected age 36 months, parent-child interaction was positively correlated only with language DQ in the full-term group (B=0.216). Linear mixed-effects models showed significant positive predictive effects of parent-child interaction on language (β=0.09), personal-social (β=0.08), and total DQ (β=0.04) in both groups (P<0.05). Significant interaction effects of group × parent-child interaction were observed for gross motor (β=0.10), language (β=0.14), and total DQ (β=0.09) (P<0.05). Conclusions Neuropsychological development in late preterm infants lags behind that of full-term infants. Positive parent-child interaction effectively promotes neuropsychological development in late preterm infants.

Key words

Neuropsychological development / Parent-child interaction / Longitudinal study / Late preterm infant

Cite this article

Download Citations
Jia-Cai ZHANG , Yan LUO , Yan ZHU , et al . Neuropsychological development in late preterm infants: the potential role of parent-child interaction[J]. Chinese Journal of Contemporary Pediatrics. 2026, 28(6): 686-694 https://doi.org/10.7499/j.issn.1008-8830.2511008

References

[1]
Pusdekar YV, Patel AB, Kurhe KG, et al. Rates and risk factors for preterm birth and low birthweight in the global network sites in six low- and low middle-income countries[J]. Reprod Health, 2020, 17(): 187. PMCID: PMC7745351. DOI: 10.1186/s12978-020-01029-z .
Suppl 3
[2]
Chawanpaiboon S, Vogel JP, Moller AB, et al. Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis[J]. Lancet Glob Health, 2019, 7(1): e37-e46. PMCID: PMC6293055. DOI: 10.1016/S2214-109X(18)30451-0 .
[3]
World Health Organization. Born too soon: decade of action on preterm birth[EB/OL]. (2023-05-09)[2025-10-14].
[4]
Delnord M, Zeitlin J. Epidemiology of late preterm and early term births: an international perspective[J]. Semin Fetal Neonatal Med, 2019, 24(1): 3-10. DOI: 10.1016/j.siny.2018.09.001 .
[5]
Chen C, Zhang JW, Xia HW, et al. Preterm birth in China between 2015 and 2016[J]. Am J Public Health, 2019, 109(11): 1597-1604. PMCID: PMC6775901. DOI: 10.2105/AJPH.2019.305287 .
[6]
Mitha A, Chen R, Razaz N, et al. Neurological development in children born moderately or late preterm: national cohort study[J]. BMJ, 2024, 384: e075630. PMCID: PMC11957549. DOI: 10.1136/bmj-2023-075630 .
[7]
Sultana S, Horiuchi S, Homer CS, et al. The prevalence of long-term neurodevelopmental outcomes in preterm-born children in low- and middle-income countries: a systematic review and meta-analysis of developmental outcomes in 72 974 preterm-born children[J]. J Glob Health, 2025, 15: 04106. PMCID: PMC11969289. DOI: 10.7189/jogh.15.04106 .
[8]
You J, Shamsi BH, Hao MC, et al. A study on the neurodevelopment outcomes of late preterm infants[J]. BMC Neurol, 2019, 19(1): 108. PMCID: PMC6542031. DOI: 10.1186/s12883-019-1336-0 .
[9]
王艳, 张军, 范湘鸿. 亲子互动对早产儿神经心理发育影响的研究进展[J]. 护理学杂志, 2016, 31(7): 102-105. DOI: 10.3870/j.issn.1001-4152.2016.07.102 .
[10]
杨玉凤. 儿童发育行为心理评定量表[M]. 北京: 人民卫生出版社, 2016.
[11]
Glascoe FP. The brigance infant and toddler screen: standardization and validation[J]. J Dev Behav Pediatr, 2002, 23(3): 145-150. DOI: 10.1097/00004703-200206000-00003 .
[12]
来晶晶. 12-24个月儿童词汇发展与社会经济地位、亲子互动之间的关系[D]. 杭州: 浙江大学, 2013.
[13]
何远霞, 段星德, 何鹏飞. Bernoulli-Normal广义线性混合效应联合模型的贝叶斯分析[J/OL]. 系统科学与数学. (2025-08-20)[2025-12-30].
[14]
汤丹丹, 温忠麟. 共同方法偏差检验: 问题与建议[J]. 心理科学, 2020, 43(1): 215-223. DOI: 10.16719/j.cnki.1671-6981.20200130 .
[15]
Cheong JL, Doyle LW, Burnett AC, et al. Association between moderate and late preterm birth and neurodevelopment and social-emotional development at age 2 years[J]. JAMA Pediatr, 2017, 171(4): e164805. DOI: 10.1001/jamapediatrics.2016.4805 .
[16]
Zhou H, Qu X, Yang Y, et al. Relationship between moderate to late preterm, diet types and developmental delay in less-developed rural China[J]. Nutr Neurosci, 2022, 25(1): 70-79. DOI: 10.1080/1028415X.2020.1712534 .
[17]
Bell KA, Matthews LG, Cherkerzian S, et al. Associations of growth and body composition with brain size in preterm infants[J]. J Pediatr, 2019, 214: 20-26.e2. PMCID: PMC9131302. DOI: 10.1016/j.jpeds.2019.06.062 .
[18]
Bouyssi-Kobar M, du Plessis AJ, McCarter R, et al. Third trimester brain growth in preterm infants compared with in utero healthy fetuses[J]. Pediatrics, 2016, 138(5): e20161640. PMCID: PMC5079081. DOI: 10.1542/peds.2016-1640 .
[19]
程旺, 王成举, 申亚丽, 等. 不同出生胎龄早产儿神经发育追赶状况及校正终止年龄探讨[J]. 中国当代儿科杂志, 2024, 26(11): 1141-1147. PMCID: PMC11601113. DOI: 10.7499/j.issn.1008-8830.2406049 .
[20]
张紫祎, 肖万祥, 马丽亚, 等. 早产儿校正18~24月龄体格生长和神经发育水平研究[J]. 中国当代儿科杂志, 2023, 25(1): 25-30. PMCID: PMC9893826. DOI: 10.7499/j.issn.1008-8830.2207113 .
[21]
Novitskiy N, Chan PHY, Chan M, et al. Deficits in neural encoding of speech in preterm infants[J]. Dev Cogn Neurosci, 2023, 61: 101259. PMCID: PMC10242494. DOI: 10.1016/j.dcn.2023.101259 .
[22]
梁晶晶, 胡艳, 邢艳菲, 等. 晚期早产儿和早期足月儿1岁时神经心理发育水平的随访研究[J]. 中国当代儿科杂志, 2020, 22(7): 706-710. PMCID: PMC7389612. DOI: 10.7499/j.issn.1008-8830.1912132 .
[23]
Lilliesköld S, Lode-Kolz K, Rettedal S, et al. Skin-to-Skin contact at birth for very preterm infants and mother-infant interaction quality at 4 months: a secondary analysis of the IPISTOSS randomized clinical trial[J]. JAMA Netw Open, 2023, 6(11): e2344469. PMCID: PMC10690460. DOI: 10.1001/jamanetworkopen.2023.44469 .
[24]
Tian Y, Zhang C, Liu F, et al. Effect of home environment on neuropsychiatric development in preterm infants discharged from NICU at 18 months corrected age[J]. Gen Psychiatr, 2025, 38(1): e101634. PMCID: PMC11784137. DOI: 10.1136/gpsych-2024-101634 .
[25]
Schwarzer C, Grafe N, Hiemisch A, et al. Associations of media use and early childhood development: cross-sectional findings from the LIFE Child study[J]. Pediatr Res, 2022, 91(1): 247-253. PMCID: PMC8770129. DOI: 10.1038/s41390-021-01433-6 .
[26]
Caskey M, Stephens B, Tucker R, et al. Importance of parent talk on the development of preterm infant vocalizations[J]. Pediatrics, 2011, 128(5): 910-916. DOI: 10.1542/peds.2011-0609 .

Footnotes

所有作者均声明不存在利益冲突。

PDF(1650 KB)

Accesses

Citation

Detail

Sections
Recommended

/