PSY2071 Lecture Notes - Lecture 11: Implicit Learning, Mild Cognitive Impairment, Cogmed
5 Jun 2018
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PSY2071 – Lecture – Week 11 – Interventions for development
• long chain fatty acids
•
o important for brain development
o intervention for pregnant mother - enhance brain development of
foetus
• preterm birth strong indicator of later outcomes
• family important for intervention
• outcome is poorer - earlier you are born preterm
• preterm outcomes
•
o sensory problems
o
▪ deafness
▪ blindness
o motor
o
▪ cerebral palsy
▪ DCD - developmental coordination disorder
▪ motor impairments - more than 50% of preterm children
o cognitive
o
▪ lower general intelligence
▪ language
▪ attention
▪ memory
▪ executive function
o educational
o
▪ declined reading, spelling, maths
▪ increased grade repetition
o psychopathology
o
▪ increase in behavioural and mental health problems
▪
▪ anxiety
▪ depression
▪ ADHD
▪ autism
• significant variability in child outcome following preterm birth
•
o small percentage have severe developmental challenges
o many experience subtle learning and motor problems
o pattern of difficulties differs
• preterm birth - exposes brain to stimuli which the brain is not prepared
for - can alter the course of normal brain development
• elevated symptoms of depression and anxiety 2-3 weeks after birth for
parents of pre-term children - continues 3 months after
• high maternal and paternal depression and anxiety post discharge
find more resources at oneclass.com
find more resources at oneclass.com
• parenting predicts outcomes - parental mental health is important to how
they parent their child
• early intervention
•
o EI consists of multidisciplinary services provided to children 0-5
promote child health, enhance emerging competencies, minimises
delays, remediate emerging disabilities, prevent deterioration,
promote family function
• conclusions of cochrane reviews
•
o cognitive
o
▪ early developmental interventions post discharge
▪
▪ improve cognitive development in short to medium
term
▪ less evidence on the long term effects
▪ motor
▪
▪ early developmental interventions post discharge
improve
▪
▪ motor outcome in the short term
▪ limited evidence on the medium and long
term effects
o other outcomes
• VIBeS plus
•
o intervention developed for families with very preterm infants
o aim - improve child development and parent mental health
o intervention
o
▪ began after hospital discharge
▪ team - psychologist and physiotherapist - visit families in
home
▪ 9 sessions over first months of child’s life
▪ focused on infant self-regulation, postural stability, co-
ordination and strength, parent-infant relationship, parent
mental health, family support and relationships
o intervention resulted in improved behaviour for children
o mothers in intervention group - less signs of anxiety and
depression
o summary
o
▪ parents in the intervention group
▪
▪ fewer depression and anxiety symptom
▪ children in the intervention group
▪
find more resources at oneclass.com
find more resources at oneclass.com
