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幼儿期磨牙过早萌出的发育相关因素

Developmental Correlates of Accelerated Molar Eruption in Early Childhood.

作者信息

McDermott Cassidy L, Lee Janet, Park Anne T, Tooley Ursula A, Boroshok Austin L, Hilton Katherine, Linn Kristin A, Mupparapu Muralidhar, Mackey Allyson P

机构信息

Department of Psychology, University of Pennsylvania, Philadelphia, Pennsylvania.

School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

Biol Psychiatry Glob Open Sci. 2023 Feb 17;3(4):847-854. doi: 10.1016/j.bpsgos.2023.02.006. eCollection 2023 Oct.

Abstract

BACKGROUND

Adversity has been linked to accelerated maturation. Molar eruption is a simple and scalable way to identify early maturation, but its developmental correlates remain unexplored. Thus, we examined whether accelerated maturation as indexed by molar eruption is associated with children's mental health or cognitive skills.

METHODS

Molar eruption was evaluated from T2-weighted magnetic resonance imaging in 117 children (63 female; ages 4-7 years). Parents reported on child mental health with the Child Behavior Checklist. Children completed standardized assessments of fluid reasoning, working memory, processing speed, crystallized knowledge, and math performance. Relationships between molar eruption and developmental outcomes were examined using linear models, with age, gender, and stress risk as covariates.

RESULTS

Earlier molar eruption was positively associated with children's externalizing symptoms (false discovery rate-corrected [] = .027) but not internalizing symptoms, and the relationship with externalizing symptoms did not hold when controlling for stress risk. Earlier molar eruption was negatively associated with fluid reasoning ( < .001), working memory ( = .033), and crystallized knowledge ( = .001). The association between molar eruption and both reasoning and crystallized knowledge held when controlling for stress risk. Molar eruption also partially mediated associations between stress risk and both reasoning (proportion mediated = 0.273,  = .004) and crystallized knowledge (proportion mediated = 0.126,  = .016).

CONCLUSIONS

Accelerated maturation, as reflected in early molar eruption, may have consequences for cognitive development, perhaps because it constrains brain plasticity. Knowing the pace of a child's maturation may provide insight into the impact of a child's stress history on their cognitive development.

摘要

背景

逆境与加速成熟有关。磨牙萌出是识别早期成熟的一种简单且可扩展的方法,但其发育相关性仍未得到探索。因此,我们研究了以磨牙萌出为指标的加速成熟是否与儿童的心理健康或认知技能相关。

方法

通过T2加权磁共振成像对117名儿童(63名女性;年龄4至7岁)的磨牙萌出情况进行评估。父母使用儿童行为检查表报告孩子的心理健康状况。儿童完成了流体推理、工作记忆、处理速度、晶体知识和数学成绩的标准化评估。使用线性模型检验磨牙萌出与发育结果之间的关系,并将年龄、性别和压力风险作为协变量。

结果

较早的磨牙萌出与儿童的外化症状呈正相关(错误发现率校正后[] = 0.027),但与内化症状无关,并且在控制压力风险后,与外化症状的关系不再成立。较早的磨牙萌出与流体推理(<0.001)、工作记忆( = 0.033)和晶体知识( = 0.001)呈负相关。在控制压力风险时,磨牙萌出与推理和晶体知识之间的关联仍然存在。磨牙萌出还部分介导了压力风险与推理(中介比例 = 0.273, = 0.004)和晶体知识(中介比例 = 0.126, = 0.016)之间的关联。

结论

早期磨牙萌出所反映的加速成熟可能会对认知发展产生影响,这可能是因为它限制了大脑可塑性。了解儿童的成熟速度可能有助于深入了解儿童的压力史对其认知发展的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12a8/10593886/a2e55335f48d/gr1.jpg

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