Behavioral and social development of children born extremely premature: 5‐year follow‐up

Hoff, Barbara; Hansen, Bertel; Munck, Hanne; Mortensen, Erik Lykke

doi:10.1111/j.1467-9450.2004.00407.x

Cited by 25 publications

(32 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings clearly parallel earlier results about increased difficulties related to the development and behaviour in preterm infants at 5 years of age [10,13] and in school age [14,29] when compared with controls. In agreement with our results, parents have also reported VLBWI to have more social problems in adolescence [30] and attention problems in adolescence [30] and young adulthood [31] than controls.…”

Section: Discussionsupporting

confidence: 81%

“…In Finnish children born with a birthweight less than 1,000 g, the neurological outcome was considered normal in 57% [12]. The risk of hyperactive behaviour is increased in 5-year-old children born extremely prematurely [13]. Preterm children also show more externalising and internalising behaviour, and have a twofold risk of attention-deficit and hyperactivity disorder compared to full-term controls, and mean cognitive scores are directly proportional to birthweight and gestational age [14].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development and behaviour of 5-year-old very low birthweight infants

Rautava

Andersson

Gissler

et al. 2010

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

The place and time of birth influence the mortality of premature infants. We studied the effect of prematurity, time of birth, birth hospital level and district on the development and behaviour in a national cohort of 5-year-old Finnish very low birthweight infants (VLBWI). All surviving VLBWI (gestational age \32 weeks or birthweight B1,500 g) born in 2001-2002 in level II or III hospitals in Finland and full-term controls were included. The parents of 588 (64%) VLBWI and 176 (46%) controls returned the Five to Fifteen questionnaire (FTF) on the development and behaviour of their 5-year-old children. The questionnaire scores were linked to data from the National Medical Birth Register, the Hospital Discharge Register, the Register of Congenital Malformations and the Cause of Death Register. VLBWI had lower developmental and behavioural scores compared to the controls in all FTF domains. In VLBWI, the scores were less optimal, the lower the gestational age was. The time of birth, birth hospital level and district were not associated with the developmental and behavioural scores in VLBWI. In conclusion, short duration of pregnancy adversely influences development and behaviour in VLBWI. Despite differences previously demonstrated in mortality related to time and place of birth, there were no differences in developmental and behavioural scores in VLBWI according to the time of birth, birth hospital level or district. Thus, the survival advantage in level III hospitals seems not to be gained at the expense of behavioural or developmental problems.

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Development and behaviour of 5-year-old very low birthweight infants

Rautava

Andersson

Gissler

et al. 2010

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

“…Intelligence at age 5 also did not predict adult psychiatric outcomes. This finding is inconsistent with previous research showing a relationship between intelligence and behaviour problems in very/extremely preterm cohorts in early and middle childhood [19,46]. It may be that this relationship is reduced over time, so that it is less evident in adulthood, or that this relationship is stronger in extremely premature or ELBW populations.…”

Section: Discussioncontrasting

confidence: 78%

“…For example, research has shown some persistence of psychological problems from early to late adolescence [18]. Low cognitive functioning at age 5 has also been found to predict behavioral and social problems at age 10 [19].…”

Section: Introductionmentioning

confidence: 96%

Longitudinal Predictors of Psychiatric Disorders in Very Low Birth Weight Adults

Westrupp

Northam

Doyle

et al. 2011

Child Psychiatry Hum Dev

View full text Add to dashboard Cite

The purpose of this study was to determine risk and protective factors for adult psychiatric disorders in very low birth weight (VLBW, birth weight <1,501 g) survivors. 79 of 154 (51%) VLBW subjects recruited at birth were assessed in early adulthood (24-27 years). Participants were screened for a psychiatric disorder; those elevated were invited to attend a structured clinical interview to determine a clinical diagnosis. Longitudinal variables measured from birth and at ages 2, 5, 14 and 18 years were included in analyses. Perinatal, developmental and social environmental risk factors failed to predict psychiatric disorder in adulthood in this cohort of VLBW survivors. Instead, low self-esteem at age 18 (odds ratio [OR] = 1.05, 95% confidence interval [CI] = 1, 1.11, p = 0.05) and the adult social environment (high rates of negative life event stress at the time of assessment: OR = 1.39, CI = 1.10, 1.76, p = 0.02), contributed significantly to adult psychiatric outcomes.

show abstract

“…Similarly, children who are born preterm are at an increased risk for developing externalizing behavioral difficulties (e.g. hyperactivity, aggression), social, and peer relationship problems, and they are more likely to be diagnosed with Attention-deficit/hyperactivity disorder (ADHD) compared to same-age full-term peers [2,15,16]. Although preterm related impairments may not reach the attention of parents and teachers until later in development, research on the neuropathology of preterm birth suggests that these challenges likely have their roots in infancy.…”

Section: Introductionmentioning

confidence: 99%