Social-emotional delays at 2 years in ELGA survivors: correlates of impaired orientation-engagement and emotional regulation

Lauren A C Boyd, Michael E Msall, T Michael O’Shea, Elizabeth N Allred, Gail Hounshell, Alan Leviton

Early Hum Dev. 2013;89:925-30.

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31% of children had a non-optimal (14%) or questionable (17%) Behavior Rating Scale score for Emotional Regulation, and 27% for Orientation/Engagement (O/E). These children were more likely to have MDI and PDI scores <70 and be unable to walk. Antecedents of low scores include multi-fetal pregnancy, indicators of socioeconomic disadvantage, and male sex. Over 25% of children born extremely premature exhibit socio-emotional delays during developmental assessment at age 2 years.