Environmental Conditions to Promote Healthy Childhood Brain/Behavioral Development: Informing Early Preventive Interventions for Delivery in Routine Care.

Environmental Conditions to Promote Healthy Childhood Brain/Behavioral Development: Informing Early Preventive Interventions for Delivery in Routine Care.
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促进健康儿童大脑/行为发育的环境条件:为常规护理中的分娩提供早期预防干预。

DOI:
10.1016/j.bpsgos.2021.10.003
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发表时间:
2022-07
期刊:
Biological psychiatry global open science
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生命早期的环境经历对认知、情感和神经生物学的发展以及相关的身心健康轨迹具有强烈和持久的影响。早期照顾者的养育和刺激在促进积极的神经发育结果方面的强大影响已经在不同物种中得到了证明。这些发现阐明了已知的促进神经健康发育的环境条件,并强调了利用环境中可改变的心理社会因素为早期预防干预提供信息的潜力,以促进健康和适应性发展。提出了一个早期预防干预的框架,以加强在现有保健或教育基础设施内提供的大脑发育早期敏感时期实施的养育和反应照料。敏感时期的情绪发展是一个重要的、未被认识到的、可大量修改的心理和身体健康结果的预测指标,需要投入资源并将干预措施纳入世界各地儿童的公共卫生基础设施。未来的研究需要进一步澄清关键发展领域是否以及何时存在敏感期,以便为这些干预措施的最佳时机和目标提供信息。许多现有的经经验支持的早期干预措施可加以修改,并以更简短和更可行的方式向更广泛的发展中儿童人口提供服务。正如在物种间的生长和发育中确立的那样,在特定的发展时期特别重要的基本环境投入促进了最佳的生长轨迹。这些原则在应用于早期儿童神经发展方面具有巨大的潜力,以促进人类人口的繁荣和弹性。
Environmental experiences early in life have strong and enduring consequences for cognitive, emotional, and neurobiological development and related physical and mental health trajectories. The powerful influence of early caregiver nurturance and stimulation on promoting positive neurodevelopmental outcomes has been demonstrated across species. These findings elucidate the environmental conditions known to facilitate healthy neurodevelopment and underscore the potential for modifiable psychosocial factors in the environment to be harnessed to inform early preventive interventions to promote health and adaptive development. A framework for early preventive interventions to enhance nurturing and responsive caregiving for implementation during early sensitive periods of brain development delivered within existing health or educational infrastructures is proposed. Emotional development during sensitive periods is an important, under-recognized, and abundantly modifiable predictor of mental and physical health outcomes that warrants investment of resources and integration of interventions into public health infrastructure for children worldwide. Future studies are needed to further clarify whether and when sensitive periods are present for key developmental domains to inform the optimal timing and targets of these interventions. Numerous available empirically supported early interventions may be modified and applied in briefer and more feasible modalities of delivery to broader populations of developing children. As well established in growth and development across species, essential environmental inputs that are particularly important at specified developmental periods facilitate optimal growth trajectories. Such principles hold great potential in application to early child neurodevelopment to facilitate a thriving and resilient human population.
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