Screening for dysregulation among toddlers born very low birth weight

Sarah J. Erickson, Peggy Maclean, Susanne Duvall, Jean R. Lowe

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: Children born very low birth weight (VLBW) are at increased risk for regulatory difficulties. However, identifying toddlers at risk has been impeded by a lack of screening measures appropriate for this population. METHODS: We studied the nature of dysregulation in toddlers born VLBW (N = 32) using the Infant-Toddler Social and Emotional Assessment (ITSEA) Dysregulation Domain, a multiscale (including negative emotionality, sleep, eating, and sensory sensitivity) screening assessment of regulatory abilities. RESULTS: As evidence of construct validity for this population, ITSEA scores for toddlers born VLBW showed greater overall dysregulation, as well as sensory sensitivity, compared with an ITSEA manual-based premature/LBW sample. This was seen both by higher overall Dysregulation Domain scores and higher percentages of toddlers exceeding the clinical cutoff levels. Furthermore, compared with age- and gender-matched full-term toddlers, the VLBW toddlers displayed gender-specific dysregulation profiles. CONCLUSIONS: The greater overall dysregulation in VLBW toddlers compared with premature/LBW toddlers suggests that early screening for such difficulties among VLBW toddlers is warranted, and this study provides preliminary evidence that the ITSEA Dysregulation Domain may be an appropriate screening measure.

Original languageEnglish (US)
Pages (from-to)213-224
Number of pages12
JournalInfants and Young Children
Volume26
Issue number3
DOIs
StatePublished - Jul 2013

Fingerprint

Very Low Birth Weight Infant
Aptitude
Population
Sleep
Eating

Keywords

  • child
  • eating
  • emotion
  • gender
  • outcome measures
  • preterm birth
  • regulation
  • screening
  • sleep
  • very low birth weight

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

Cite this

Screening for dysregulation among toddlers born very low birth weight. / Erickson, Sarah J.; Maclean, Peggy; Duvall, Susanne; Lowe, Jean R.

In: Infants and Young Children, Vol. 26, No. 3, 07.2013, p. 213-224.

Research output: Contribution to journalArticle

Erickson, Sarah J. ; Maclean, Peggy ; Duvall, Susanne ; Lowe, Jean R. / Screening for dysregulation among toddlers born very low birth weight. In: Infants and Young Children. 2013 ; Vol. 26, No. 3. pp. 213-224.
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