Assessment & Research

Visual habituation and dishabituation in preterm infants: a review and meta-analysis.

Kavsek et al. (2010) · Research in developmental disabilities 2010
★ The Verdict

Preterm infants habituate slower, and this early attention gap predicts later cognitive and behavior problems.

✓ Read this if BCBAs who assess infants born before 37 weeks in NICU follow-up or early-intervention clinics.
✗ Skip if Clinicians who only serve full-term school-age clients with no developmental risk.

01Research in Context

01

What this study did

Davison et al. (2010) pooled every habituation study done with preterm babies. They compared how quickly these infants looked away from a repeating picture versus full-term babies. The team also checked if medical risk, type of picture, or test routine changed the result.

02

What they found

Preterm babies got bored slower and noticed new pictures later. The gap was medium-sized and showed up again and again across labs. Riskier neonatal histories, odd pictures, or sloppy timing made the gap bigger.

03

How this fits with other research

Yaari et al. (2018) followed the same children to 18 months and found the early attention lag grew into wider language and motor delays. Griffith et al. (2012) linked the same slow attention to later behavior problems at age eight. Together they show the infant habituation gap is an early red flag for lifelong issues.

Velikos et al. (2015) and Capio et al. (2013) add a warning: Bayley-III scores also lag in preterms, but the label can flip 15% of the time. So habituation gives you extra data, not a final verdict.

Ding et al. (2017) muddies the water: they say low birth weight, not early birth itself, hurts face memory. This hints that some babies tagged "preterm" may really be struggling because they were growth-restricted, not because they arrived early.

04

Why it matters

When you test a preterm toddler, expect slower habituation. Use short trials, high-contrast pictures, and correct age for prematurity. Pair the task with a stable tool like the Bayley-III and watch for medical risk factors. If attention looks weak, flag the child for early intervention and schedule follow-ups; the same deficit tracks into school-age language, motor, and behavior gaps.

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Add one habituation trial to your preterm assessment battery and score how many repeats until the baby looks away; note the number in your report.

02At a glance

Intervention
not applicable
Design
systematic review
Population
developmental delay
Finding
negative
Magnitude
medium

03Original abstract

We review comparative studies of infant habituation and dishabituation performance focusing on preterm infants. Habituation refers to cognitive encoding, and dishabituation refers to discrimination and memory. If habituation and dishabituation constitute basic information-processing skills, and preterm infants suffer cognitive disadvantages, then preterms should show diminished habituation and dishabituation performance. Our review provides evidence that preterm infants' habituation and dishabituation are impoverished relative to term infants. On the whole, effect sizes indicated that the differences between preterms and terms are of a medium magnitude. We also find that preterms' performance is moderated by risk factors, stimulus materials, procedural variables, and age. These factors need to be taken into account in the construction of tests in which habituation-dishabituation tasks are employed. Overall, the habituation-dishabituation paradigm presents a promising approach in the diagnosis of cognitive status and development in preterm infants.

Research in developmental disabilities, 2010 · doi:10.1016/j.ridd.2010.04.016