Atenção compartilhada: Estudo comparativo entre lactentes Pré-termo e termo

• Ano de defesa: 2010
• Autor(a) principal: Simões, Juliana Maria [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Prematuro/Crescimento e Desenvolvimento; Comportamento do Lactente/Psicologia; Comunicação Não Verbal; Linguagem
• Link de acesso: http://repositorio.unifesp.br/handle/11600/8992

Purpose: To verify prematurely born infant’s development between 8 and 18 chronological age compared to a group of full term infants relatively to Social Communication skills, namely: Joint Attention, Behavioural Requests, Social Interaction and Social Imitation as well as examine risk and protection factors associated to these skills. Methods: Preterm (GI) and full term infants’ (GII) performances were assessed with the “Early Social Communication Scale” (ESCS) and compared relatively to initiating and responding to Social Communication Skills. The ESCS was translated to Portuguese and adapted exclusively to be used in this study. GI and GII behaviors were videotaped, codified and scored. Statistics analysis aimed to: compare both GI and GII performances on the Social Communication skills; verify performance differences between genders; investigate differences among ages ranging from 8 to 11 months, 12 to 15 months and 16 to 18 months and identify the correlation between age and performance. Possible risk and protection factors were also taken in account and correlations analysis were conducted in order to investigate any associations. Results: Statistically significant differences were observed between the groups for several elements pertaining to the tested skills, GII having advantage mainly in joint attention and behavioral request skills. There were associations between risk factors and the skills performance affecting mainly the behavioral request skills. Some protection factors demonstrated to be associated to the performance of social communication skills. Conclusion: GI individuals presented poorer results among several Social- Communication skills. The progress pace of Social-Communication Skills within preterm individuals was different when compared to the full term individuals. Several risk factors, namely, gestational age, weight, hospitalization permanency time, incubator permanency time, oxygen therapy time, clinical sepsis and neurological impairment influenced the development of these tested skills. The protection factors, namely, attending school, time of education, day period of school and father’s education influenced some of the tested skills.