Document Detail


The effect of adverse intrauterine and newborn environments on cognitive development: the experiences of premature delivery and diabetes during pregnancy.
MedLine Citation:
PMID:  14984135     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prenatal and early postnatal periods constitute a time of rapid development when the brain is in a state of both heightened plasticity and vulnerability. Premature infants and infants of diabetic mothers represent two experiments of nature that allow researchers to observe how the developing brain responds to early biological challenge of either a global or regionally specific nature. We outline a set of organizing principles for conceptualizing the mechanisms by which early adverse experience may be encoded in the brain and subsequently expressed in behavior. We then review the available literature on developmental outcomes for infants born premature and infants of diabetic mothers. Research examining the relative influence of experience and maturation in the development of preterm infants indicates that advance experience does not accelerate the advent of specific cognitive capacities, but may enhance performance once the particular ability has emerged. Long-term follow-up of preterm infants also reveals evidence for plasticity and cognitive improvement into early adolescence for later maturing executive functions. Finally we offer an integrated model for investigating cognitive outcomes in infants of diabetic mothers that incorporates data from animal, electrophysiological, and behavioral measures.
Authors:
Heather Whitney Sesma; Michael K Georgieff
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Development and psychopathology     Volume:  15     ISSN:  0954-5794     ISO Abbreviation:  Dev. Psychopathol.     Publication Date:  2003  
Date Detail:
Created Date:  2004-02-26     Completed Date:  2004-06-01     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8910645     Medline TA:  Dev Psychopathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  991-1015     Citation Subset:  IM    
Affiliation:
University of Minnesota, USA.
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MeSH Terms
Descriptor/Qualifier:
Cognition Disorders / etiology*
Developmental Disabilities / etiology*
Diabetes Mellitus*
Environment*
Female
Fetal Diseases
Humans
Infant, Newborn
Infant, Premature
Pregnancy
Pregnancy Complications
Grant Support
ID/Acronym/Agency:
HD-29421/HD/NICHD NIH HHS; NS-32755/NS/NINDS NIH HHS; RR-00400/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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