Mental Health in Low-to-Moderate Risk Preterm, Low Birth Weight, and Small for Gestational Age Children at 4 to 5 Years: The Role of Early Maternal Parenting

Westrupp, Elizabeth; Mensah, Fiona; Giallo, Rebecca; Cooklin, Amanda; Nicholson, Jan M.

doi:10.1016/j.jaac.2011.12.004

Cited by 18 publications

(29 citation statements)

References 42 publications

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“…These results are consistent with prior research that found higher rates of total difficulties and anxiety symptoms 8 and findings from studies of older children born very preterm that have found higher rates of total psychiatric disorders and anxiety disorders. 1 Among older school-age and adolescent children born either very preterm or very low birth weight, the odds of anxiety disorders have ranged from 3 to 6 times that in control children, 1,2,36 with SAD and GAD being particularly prominent.…”

Section: Discussionsupporting

confidence: 91%

“…6 Recent evidence supports an increased rate of psychiatric symptoms in late preterm children as well, particularly ADHD, 7 “emotional”, and anxiety symptoms. 8 Other investigations, however, have failed to detect a difference in the rates of psychiatric symptoms between late preterm and full term children. 9 The small body of research evaluating the psychiatric outcomes of late preterm children has been limited by the reliance on symptom checklists, retrospective review of records or by investigation of child outcomes at a broad range of developmental stages.…”

Section: Introductionmentioning

confidence: 99%

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Late Preterm Birth, Maternal Depression, and Risk of Preschool Psychiatric Disorders

Rogers¹,

Lenze²,

Luby³

2013

Journal of the American Academy of Child & Adolescent Psych

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Objective Preterm children are at greater risk for psychiatric disorders than their term-born peers including anxiety disorders and ADHD. Prior research has focused primarily on children born at early gestational ages. Less is known about the rate of psychiatric disorders among late preterm or early term children. Additionally, whether a history of maternal depression, also associated with prematurity, impacts the risk for psychiatric disorders remains underexplored. Method Preschoolers between ages 3 and 6 years (N=306) were recruited for a study examining preschool depression that included healthy and disruptive preschoolers. Preschoolers were placed in the following groups: Late preterm (34–36 weeks, n=39), early term (37–39 weeks, n=78) and full term (40–41 weeks, n=154). DSM-IV psychiatric disorders were assessed via the Preschool Age Psychiatric Assessment. Maternal history of psychiatric disorders was assessed using the Family Interview for Genetic Studies. Results Late preterm children had higher rates of any Axis I psychiatric diagnosis (odds ratio [OR] 3.18, CI 1.09–4.76) and of any anxiety disorder (OR 3.74, CI 1.59–8.78) than full term children after adjusting for gender, ethnicity, family income, and IQ. There were no differences in rates of psychiatric diagnoses between early term and full term children. A history of maternal depression mediated the relationship between late preterm birth and anxiety disorders in preschoolers. Conclusions Late preterm children were at increased risk for anxiety disorders at preschool age. A history of maternal depression mediated this association. Findings confirm the extension of the risk of psychiatric disorders associated with prematurity to the late preterm group, and suggest that maternal depression may play a key role in this risk trajectory.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Late Preterm Birth, Maternal Depression, and Risk of Preschool Psychiatric Disorders

Rogers¹,

Lenze²,

Luby³

2013

Journal of the American Academy of Child & Adolescent Psych

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“…Alternatively, studies have shown that parents of a child born with perinatal risk may be more "protective" or attentive of their child given the high-stress context of birth complications. 33 We urge caution in the interpretation of this finding, given that the stability and mechanism of this effect are not clear from our results.…”

Section: Discussionmentioning

confidence: 63%

Childhood Health and Developmental Outcomes After Cesarean Birth in an Australian Cohort

Robson¹,

Vally

Abdel-Latif

et al. 2015

Pediatrics

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BACKGROUND AND OBJECTIVES: Concerns have been raised about associations between cesarean delivery and childhood obesity and asthma. However, published studies have not examined the long-term neurodevelopmental outcomes or fully addressed confounding influences. We used data from the LSAC (Longitudinal Study of Australian Children) to explore the relationship between cesarean delivery and physical and socio-emotional outcomes from 0 to 7 years, taking into account confounding factors.

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“…(19) Although there is less evidence in the LP population, available evidence supports an increased rate of psychiatric symptoms in LP children as well, including “emotional”, and anxiety symptoms. (20,21) We have also previously noted increased rates of psychiatric disorders, including a four-fold risk for anxiety disorders, at preschool age among LP children in the cohort to be examined in the analyses presented here. (22) Elevated rates of generalized anxiety disorder and separation anxiety disorders were found in this group.…”

mentioning

confidence: 63%

Altered Gray Matter Volume and School Age Anxiety in Children Born Late Preterm

Rogers

Deanna

Pagliaccio

et al. 2014

The Journal of Pediatrics

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Objectives To determine if late preterm (LP) children differ from full term (FT) children in volumes of the cortex, hippocampus, corpus callosum, or amygdala and whether these differences are associated with anxiety symptoms at school-age. Study design LP children born between 34 and 36 weeks gestation and FT children born between 39 and 41 weeks gestation from a larger longitudinal cohort had MRI scans at school-age. Brain volumes, cortical surface area and thickness measures were obtained. Anxiety symptoms were assessed using a structured diagnostic interview annually beginning at preschool-age and following the MRI. Results LP children (n=21) had a smaller percentage of total, right parietal, and right temporal lobe gray matter volume than FT children (n=87). There were no differences in hippocampal, callosal, or amygdala volumes or cortical thickness. LP children also had a relative decrease in right parietal lobe cortical surface area. LP children had greater anxiety symptoms over all assessments. The relationship between late prematurity and school-age anxiety symptoms was mediated by the relative decrease in right temporal lobe volume. Conclusion LP children, comprising 70% of preterm children, are also at increased risk for altered brain development particularly in the right temporal and parietal cortices. Alterations in the right temporal lobe cortical volume may underlie the increased rate of anxiety symptoms among these LP children. These findings suggest that LP delivery may disrupt temporal and parietal cortical development that persists until school-age with the right temporal lobe conferring risk for elevated anxiety symptoms.

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Mental Health in Low-to-Moderate Risk Preterm, Low Birth Weight, and Small for Gestational Age Children at 4 to 5 Years: The Role of Early Maternal Parenting

Cited by 18 publications

References 42 publications

Late Preterm Birth, Maternal Depression, and Risk of Preschool Psychiatric Disorders

Late Preterm Birth, Maternal Depression, and Risk of Preschool Psychiatric Disorders

Childhood Health and Developmental Outcomes After Cesarean Birth in an Australian Cohort

Altered Gray Matter Volume and School Age Anxiety in Children Born Late Preterm

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