Review article Q1
Self-regulation in moderate-to-late preterm children: A scoping review
Amber Feher (Feher, A.); Alfredo Pereira (Pereira, A.); Rita Santos (Santos, R.); Vera Mateus (Mateus, V.); Joana Baptista (Baptista, J.);
Journal Title
Infant Mental Health Journal
Year (definitive publication)
2025
Language
English
Country
United States of America
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Abstract
Compared with the more physically fragile extremely/very preterm children (E/VPT), moderate-to-late preterm (MLPT) children—the large majority of preterm births—are underrepresented in research. This gap persists despite evidence that MLPT children exhibit more difficulties than full-term peers in certain domains. This scoping review surveys the literature on psychological forms of self-regulation in MLPT children, organized around three levels: emotional, behavioral, and cognitive regulation. We sought studies on MLPT children, aged 3 months to 3 years, including: (1) comparisons of self-regulation with other gestational groups; and (2) environmental and individual factors associated with self-regulation specifically in MLPT children. A systematic search across five electronic databases, supplemented by a manual search, identified 24 relevant articles. Our review found inconsistencies regarding self-regulation in MLPT children compared to other gestational groups. Emotion regulation in MLPT children appears comparable to E/VPT children, whereas behavioral regulation aligns more with full-term peers. Results for cognitive regulation are mixed. Environmental factors (e.g., maternal depressive symptoms) and individual factors (e.g., sex) associated with self-regulation were identified. The review underscores variability in self-regulation development among MLPT children and highlights the limited research focused on this population. More research, particularly longitudinal studies with representative samples, is urgently needed.
Acknowledgements
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Keywords
Infancy,Moderate-to-late prematurity,Scoping review,Self-regulation,Toddlerhood
  • Clinical Medicine - Medical and Health Sciences
  • Psychology - Social Sciences
Funding Records
Funding Reference Funding Entity
UI/BD/152571/2022 Fundação para a Ciência e a Tecnologia