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Counseling Psychology and Psychotherapy
2026. Vol. 34, no. 1, 157–174
doi:10.17759/cpp.2026340108
ISSN: 2075-3470 / 2311-9446 (online)

Comparative study of the dynamics of mental development of premature infants with intraventricular cerebral hemorrhage in their first year of life according to maternal assessment

 
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Abstract

Relevance. The application of high medical Technology and advances in preterm infant care are keeping more and more newborns at risk for health and developmental problems alive. The aim of this work was to comparatively study the developmental dynamics of premature infants with different degrees of intraventricular cerebral hemorrhage (IVCH), which is one of the most severe conditions in the newborn period, at different variants of neurosurgical treatment of their complications in the first year of infants' life using maternal assessment of child development. Materials and Methods. The study included 77 children (40 boys and 37 girls) born at 28,3±3,1 weeks' gestation with diagnosed intraventricular hemorrhages. The children were divided into groups on the basis of treatment for posthemorrhagic hydrocephalus (PGH group) — 33 children (22 boys), hydrocephalus syndrome (HS group) — 26 children (13 boys); 18 children (5 boys) with 1-degree intraventricular hemorrhages without complicated variants of the course made up the comparison group (comparison g roup). The parental Ages and Stages Questionnaire, Third Edition (Ages and Stages Questionnaires-3, ASQ-3; Squires J. et al., 2009) was used to assess infant development at 3 and 12 adjusted months of age. Results and Conclusions. No differences were found between study groups of children with intraventricular hemorrhages in measures of communication skills, cognitive, and social development at 3 and 12 adjusted months of life. Motor development in large motor skills at 3 months of age was relatively higher compared to 12 months, p = 0,003 and p = 0,010 in the PGG and HS groups, respectively. At 12 months of age, coarse motor skills were lower in the PGG group than in the comparison group, p = 0,015 and for fine motor skills was higher in the comparison group than in the HS group, p = 0,032. A more pronounced influence of the degree of intracranial structural changes (degree of intraventricular hemorrhages) than of the type of treatment used (conservative or operative neurosurgery) on the developmental features of surviving infants was observed.

General Information

Keywords: premature infants, intraventricular hemorrhage, posthemorrhagic hydrocephalus, infants at high risk of neurological impairment (IHRNI), neuropsychological development, neuropsychological developmental disorders, early intervention for children and their families

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2026340108

Funding. The research work was supported by a grant from the Russian Foundation for Scientific Research (No. 18-013-01183) on the topic: «Comprehensive study of the development and mental health of prematurely born infants with intraventricular hemorrhages and posthemorragic hydrocephalus», https://kias.rfbr.ru/index.php

Acknowledgements. The authors would like to thank the staff of the Children's City Multidisciplinary Clinical Specialized Center for High Medical Technologies in St. Petersburg and family members of the children included in the study for their assistance in the study.

Received 22.04.2025

Revised 19.08.2025

Accepted

Published

For citation: Andrushchenko, N.V., Mukhamedrahimov, R.Z., Kriukov, E.Y., Vershinina, E.A., Maier, M.A. (2026). Comparative study of the dynamics of mental development of premature infants with intraventricular cerebral hemorrhage in their first year of life according to maternal assessment. Counseling Psychology and Psychotherapy, 34(1), 157–174. (In Russ.). https://doi.org/10.17759/cpp.2026340108

© Andrushchenko N.V., Mukhamedrahimov R.Z., Kriukov E.Y., Vershinina E.A., Maier M.A., 2026

License: CC BY-NC 4.0

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Information About the Authors

Nataliia V. Andrushchenko, Candidate of Science (Medicine), Associate Professor of the Department of Mental Health and Early Support for Children and Parents, Faculty of Psychology, Saint Petersburg State University, Associate Professor of the Department of Children's Neuropsychiatry and Neurosurgery, North-Western State Medical University named after I.I. Mechnikov at the Ministry of Health of Russia; Child Neurologist, Children's City Multidisciplinary Clinical Specialized Center of High Medical Technologies, St.Petersburg, Russian Federation, ORCID: https://orcid.org/0000-0003-1301-1668, e-mail: natvladandr@gmail.com

Rifkat Z. Mukhamedrahimov, Doctor of Psychology, Professor, Head of Division of Child and Parent Mental Health and Early Intervention, Deputy Dean of the Faculty of Psychology for Research, Saint-Petersburg State University, St.Petersburg, Russian Federation, ORCID: https://orcid.org/0000-0003-3532-5019, e-mail: r.muhamedrahimov@spbu.ru

Evgeniy Y. Kriukov, Doctor of Medicine, Professor, Head of the Department of Pediatric Neuropathology and Neurosurgery, North-Western State Medical University named after I.I. Mechnikov at the Ministry of Health of Russia, employee of the St. Petersburg State Healthcare Institution "Children's City Multidisciplinary Clinical Specialized Center for High Medical Technologies" (formerly City Hospital No. 1), member of the city prenatal council, St.Petersburg, Russian Federation, ORCID: https://orcid.org/0000-0002-0746-5826, e-mail: e.krukov@mail.ru

Elena A. Vershinina, Candidate of Science (Biology), Senior Researcher, Laboratory of Information Technologies and Mathematical Modeling, Pavlov Institute of Physiology, Russian Academy of Sciences, St.Petersburg, Russian Federation, ORCID: https://orcid.org/0000-0002-8873-4409, e-mail: ver_elen@mail.ru

Maria A. Maier, candidate for the degree of candidate of psychological sciences at the Department of Mental Health and Early Support of Children and Parents, Saint Petersburg State University, St.Petersburg, Russian Federation, ORCID: https://orcid.org/0000-0002-9126-4356, e-mail: mariaalex_maier@mail.ru

Contribution of the authors

Nataliia V. Andrushchenko — ideas, planning and organization of the research, annotation, manuscript writing and manuscript design; supervising the conduct of the research.

Rifkat Muhamedrahimov — research planning, writing the manuscript.

Evgeniy Yu. Kryukov — Organizing the research, supervising the research, assisting in the collection of clinical data

Elena А. Vershinina — applying statistical and mathematical methods to analyze data, writing a manuscript.

Maria A. Maier — Collecting and analyzing data, presenting data, writing the manuscript.

All authors participated in the discussion of the results and approved the final text of the manuscript.

Conflict of interest

The authors declare no conflict of interest.

Ethics statement

The study was reviewed and approved by the Ethics Committee of Saint-Petersburg State University (№ 2, 2018/02/21).

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