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Behavioral Assessment Scale (behavioral + assessment_scale)

Distribution by Scientific Domains
Medical Sciences75%

Kinds of Behavioral Assessment Scale

  • neonatal behavioral assessment scale
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    Selected Abstracts

    Prenatal Alcohol Exposure Alters Biobehavioral Reactivity to Pain in Newborns

    ALCOHOLISM, Issue 4 2010
    Tim F. Oberlander
    Objectives:, To examine biobehavioral responses to an acute pain event in a Cape Town, South Africa, cohort consisting of 28 Cape Colored (mixed ancestry) newborns (n = 14) heavily exposed to alcohol during pregnancy (exposed), and born to abstainers (n = 14) or light (,0.5 oz absolute alcohol/d) drinkers (controls). Methods:, Mothers were recruited during the third trimester of pregnancy. Newborn data were collected on postpartum day 3 in the maternity obstetrical unit where the infant had been delivered. Heavy prenatal alcohol exposure was defined as maternal consumption of at least 14 drinks/wk or at least 1 incident of binge drinking/mo. Acute stress-related biobehavioral markers [salivary cortisol, heart rate (HR), respiratory sinus arrhythmia (RSA), spectral measures of heart rate variability (HRV), and videotaped facial actions] were collected thrice during a heel lance blood collection (baseline, lance, and recovery). After a feeding and nap, newborns were administered an abbreviated Brazelton Neonatal Behavioral Assessment Scale. Results:, There were no between-group differences in maternal age, marital status, parity, gravidity, depression, anxiety, pregnancy smoking, maternal education, or infant gestational age at birth (all ps > 0.15). In both groups, HR increased with the heel lance and decreased during the postlance period. The alcohol-exposed group had lower mean HR than controls throughout, and showed no change in RSA over time. Cortisol levels showed no change over time in controls but decreased over time in exposed infants. Although facial action analyses revealed no group differences in response to the heel lance, behavioral responses assessed on the Brazelton Neonatal Scale showed less arousal in the exposed group. Conclusions:, Both cardiac autonomic and hypothalamic,pituitary,adrenal stress reactivity measures suggest a blunted response to an acute noxious event in alcohol-exposed newborns. This is supported by results on the Brazelton Neonatal Scale indicating reduced behavioral arousal in the exposed group. To our knowledge, these data provide the first biobehavioral examination of early pain reactivity in alcohol-exposed newborns and have important implications for understanding neuro-/biobehavioral effects of prenatal alcohol exposure in the newborn period. [source]

    Prenatal PCB exposure and neurobehavioral development in infants and children: Can the Oswego study inform the current debate?

    PSYCHOLOGY IN THE SCHOOLS, Issue 6 2004
    Paul Stewart
    In the current paper we describe the methodology and results of the Oswego study, in light of D.V. Cicchetti, A.S. Kaufman, and S.S. Sparrow's (this issue) criticisms regarding the validity of the human health/behavioral claims in the PCB literature. The Oswego project began as a replication of the Lake Michigan Maternal Infant Cohort study. Beyond replication of the Michigan findings, the study sought to extend results and conclusions through more comprehensive behavioral assessment, and improved confounder control and analytic methodology. Results over the past 5 years have demonstrated a convincing replication of the Michigan findings. The Michigan cohort reported findings relating Great Lakes fish consumption to performance impairments on the Neonatal Behavioral Assessment Scale (J. Jacobson, S. Jacobson, P. Schwartz, G. Fein, & J. Dowler, 1984). These findings were also found in the Oswego cohort (E. Lonky, J. Reihman, T. Darvill, J. Mather, & H. Daly, 1996), and the Oswego study extended the association to cord blood PCBS (P.W. Stewart, J. Reihman, E. Lonky, and T. Darvill, 2000). The Michigan cohort reported an association between prenatal PCB exposure and poorer performance on the Fagan Test of Infant Intelligence (S.W. Jacobson, G.G. Fein, J.L. Jacobson, P.M. Schwartz, & J.K. Dowler, 1985). The Oswego cohort found similar results (T. Darvill, E. Lonky, J. Reihman, P. Stewart, & J. Pagano, 2000). The Michigan Cohort reported an association between prenatal PCB exposure and performance impairments on the McCarthy Scales of Children's abilities (J. Jacobson & S. Jacobson, 1997). The Oswego study also found PCB-related impairments on the McCarthy Scales (P.W. Stewart, J. Reihman, E. Lonky, T. Darvill, & J. Pagano, 2003). The Oswego results used the same exposure metric in every paper, employed conservative statistical design and analysis, and controlled for more than 40 potentially confounding variables. Moreover, while PCBs were related to all the behavioral endpoints outlined above, alternative candidates for effect, including lead, HCB, Mirex, DDE, and MeHg were not. Taken together, these results support the hypothesis that prenatal PCB exposure results in statistically significant predictors of small, but measurable, deficits in cognitive development from infancy through early childhood. Cicchetti et al. argue that these results, generated by independent investigators, be dismissed because they reflect a combination of measurement error, Type I error, and residual confounding. The evidence Cicchetti et al. present in support of their position fails to explain the nearly identical pattern of associations observed in the Oswego and Michigan Cohorts. In light of this replication, the extensive assessment of potential confounders, the effective elimination of alternative contaminants, and the conservative statistical approach employed in the Oswego study, we find that Cicchetti et al.'s claims are not substantiated. © 2004 Wiley Periodicals, Inc. Psychol Schs 41: 639,653, 2004. [source]

    Neonatal behavioural profile and crying in premature infants at term age

    ACTA PAEDIATRICA, Issue 11 2006
    Shohei Ohgi
    Abstract Aim: To analyse behavioural characteristics of infants who cried more versus those who cried less, in a sample of low-risk premature infants. Methods: Participants were 63 low-risk healthy premature infants. At term age, the Neonatal Behavioral Assessment Scale (NBAS) was administered, and a 1-d diary for crying was recorded starting on the following day. Infants were categorized into two groups: those with "high level of crying" (,75th percentile) and those with "less crying" (<75th percentile), based on the total amount of crying time. Results: Some individual NBAS scores and "habituation" and "regulation of state" cluster scores were lower in the high-level-of-crying group. Infants in the group with a high level of crying had lower thresholds for response in the "peak of excitement", "rapidity of build-up", "irritability" and "general irritability" items. Logistic regression analysis revealed that lower "habituation" and "regulation of state" cluster scores were significantly associated with lower thresholds for crying. Conclusion: These results suggest that neonatal behavioural characteristics, such as hyperresponsivity and poor state regulation, are associated with high levels of crying. Clinical assessments based on the NBAS may help parents elucidate their infant's level of tolerance for stimuli, and identify strategies to minimize their crying. [source]

    Effect of an early intervention programme on low birthweight infants with cerebral injuries

    JOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 12 2004
    S Ohgi
    Objective: To determine the effect of an early intervention programme (EIP) on low birthweight infants with cerebral injuries. Methods: Subjects were 23 high-risk low birthweight infants (periventricular leukomalacia 15, intraventricular haemorrhage 5, both 3) receiving care in the neonatal intensive care unit (NICU) at Nagasaki University Hospital. Subjects were randomly assigned to the EIP group (n = 12) or the control group (n = 11). Participants in the EIP group received a Neonatal Behavioral Assessment scale (NBAS)-based intervention combined with developmental support designed to enhance the infants' development and the quality of the parent,infant relationship. The control group received routine medical nursing care without the EIP. The EIP began prior to discharge from the NICU and lasted until 6 months of corrected age. All children were examined on the NBAS preintervention and again at 44 weeks postconceptional age. Maternal anxiety status (STAI) and maternal feelings of confidence in dealing with her baby (LCC) were measured pre and postintervention. Mental and motor development was assessed postintervention using the Bayley Scale of Infant Development. Results: Orientation and State Regulation of infant behavioural profiles, the STAI and LCC scores significantly improved in the EIP group (mean difference (95% CI): Orientation 0.7 (0.4, 1.1), State Regulation 0.9 (0.3, 1.5), STAI ,5.5 (, 9.1, ,1.9, LCC 5.3 (4.2, 6.5)), but not in the control group. Bayley mental developmental index (MDI) score in the EIP group was higher than in the control group, but there was no significant difference between the two groups (mean difference (95% CI): MDI 8.5 (, 0.8, 17.8), PDI 6.7 (, 1.9, 15.4)). Conclusion: The EIP has beneficial effects on neonatal neurobehavioural development and maternal mental health of low birthweight infants with cerebral injuries. This evidence suggests that short-term changes in maternal mental health and infant neurobehaviour promoted by an EIP may serve to initiate a positive interaction between parents and infants. [source]