Mental Health of Extremely Low Birth Weight Survivors in Their 30s

Lieshout, Ryan J. Van; Boyle, Michael H.; Saigal, Saroj; Morrison, Katherine M.; Schmidt, Louis A.

doi:10.1542/peds.2014-3143

Cited by 128 publications

(156 citation statements)

References 42 publications

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“…As an example of this is attention deficit/hyperactivity disorder, which has been documented to create a significant risk of mortality, psychiatric disorders, and morbidity well into adulthood [16]. In addition, some of the patients in our study were of extremely low birth weight and, as a consequence, were at higher risk for psychiatric disorders when reaching adulthood [17]. …”

Section: Discussionmentioning

confidence: 93%

Pediatric Neurosurgery Patients Need More than a Pediatric Neurosurgeon. Part II. A Clinical Report: In the USA Lack of Parent/Caregiver Compliance Interferes with the Patient Care Sequence

MacGregor¹,

James²,

Everett

et al. 2016

Pediatr Neurosurg

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We have previously reported on the initiation, development, and preliminary results of a comprehensive multidisciplinary team for the long-term management of children with neurosurgical conditions other than spina bifida. This report addresses the follow-up of the care of these patients and identifies limitations in the care sequence including, but not limited to, lack of parental/caregiver compliance, unmet educational needs, and medical insurance issues.

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Section: Discussionmentioning

confidence: 93%

Pediatric Neurosurgery Patients Need More than a Pediatric Neurosurgeon. Part II. A Clinical Report: In the USA Lack of Parent/Caregiver Compliance Interferes with the Patient Care Sequence

MacGregor¹,

James²,

Everett

et al. 2016

Pediatr Neurosurg

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“…7 A recent study, which is the longest cohort study to date of extreme low-birth weight survivors, demonstrated that cases of babies born with a birth weight under 1000 g were more likely to exhibit a psychiatric problem than their normal birth weight counterparts. 16 However, Doppler status was not formally assessed within the methodology, probably because its routine use predated the starting date of the study.…”

Section: Discussionmentioning

confidence: 99%

Fetal umbilical artery Doppler pulsatility index and childhood neurocognitive outcome at 12 years

et al. 2016

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ObjectiveTo determine whether an elevated fetal umbilical artery Doppler (UAD) pulsatility index (PI) at 28 weeks’ gestation, in the absence of fetal growth restriction (FGR) and prematurity, is associated with adverse neurocognitive outcome in children aged 12 years.MethodsProspective cohort study, comparing children with a normal fetal UAD PI (<90th centile) (n=110) and those with an elevated PI (≥90th centile) (n=40). UAD was performed at 28, 32 and 34 weeks gestation. At 12 years of age, all children were assessed under standardised conditions at Queen's University, Belfast, UK to determine cognitive and behavioural outcomes using the British Ability Score-II and Achenbach Child Behavioural Checklist Parent Rated Version under standardised conditions. Regression analysis was performed, controlling for confounders such as gender, socioeconomic status and age at assessment.ResultsThe mean age of follow-up was 12.4 years (±0.5 SD) with 44% of children male (n=63). When UAD was assessed at 28 weeks, the elevated fetal UAD group had lower scores in cognitive assessments of information processing and memory. Parameters included (1) recall of objects immediate verbal (p=0.002), (2) delayed verbal (p=0.008) and (3) recall of objects immediate spatial (p=0.0016). There were no significant differences between the Doppler groups at 32 or 34 weeks' gestation.ConclusionsAn elevated UAD PI at 28 weeks' gestation in the absence of FGR or prematurity is associated with lower scores of declarative memory in children aged 12 years. A potential explanation for this is an element of placental insufficiency in the presence of the appropriately grown fetus, which affects the development of the fetal hippocampus and information processing and memory long-term. These findings, however, had no impact on overall academic ability, mental processing and reasoning or overall behavioural function.

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“…This interview was complemented by additional modules from the MINI-Plus 33 which added lifetime disorders. Van Lieshout et al 25 previously reported the procedures for this sample. For both the YASR and MINI outcomes, a minimum prevalence threshold of 5 cases total (ELBW plus NBW) was required for a disorder to be included.…”

Section: Outcome: Psychiatric Disordersmentioning

confidence: 99%

“…20 The exposure of ELBW survivors to significant prenatal and postnatal adversity likely contributes to their increased vulnerability to the adverse psychiatric effects of peer victimization. [21][22][23][24][25] While recent evidence suggests that children born very preterm and who experience peer victimization may have elevated rates of emotional problems in childhood, it is not clear if these persist into adulthood. 26 In addition, it is not known if these problems are clinically significant as they have been typically measured by using screening questionnaires.…”

mentioning

confidence: 99%

Long-term Psychiatric Impact of Peer Victimization in Adults Born at Extremely Low Birth Weight

Day¹,

Vaillancourt

Saigal

et al. 2016

Pediatrics

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BACKGROUND: While children born at extremely low birth weight (ELBW; <1000 g) are at elevated risk for peer victimization, no research has examined its effects on mental health in adulthood. METHODS: ELBW survivors and matched normal birth weight (NBW; >2500 g) controls were part of a prospective, population-based study in Ontario, Canada. Peer victimization before age 16 was self-reported at age 22 to 26 years by using a 10-point measure. Presence of psychiatric disorders was examined at age 22 to 26 years (ELBW n = 142, NBW n = 133) and age 29 to 36 years (ELBW n = 84, NBW n = 90). RESULTS: After adjustment for confounding variables, for each 1-point increase in the peer victimization score, ELBW survivors had increased odds of current depressive (odds ratio [OR] = 1.67, 95% confidence interval [CI], 1.23–2.28), anxiety (OR = 1.36, 95% CI, 1.05–1.76), avoidant (OR = 1.39, 95% CI, 1.08–1.79), antisocial (OR = 1.92, 95% CI, 1.06–2.87), and attention-deficit/hyperactivity (OR = 1.39, 95% CI, 1.06–1.83) problems at age 22 to 26 years. At age 29 to 36 years, peer victimization score predicted increased odds of current panic disorder (OR = 1.69, 95% CI, 1.01–2.83) and obsessive-compulsive disorder (OR = 3.56, 95% CI, 1.25–10.09). For NBW controls, peer victimization predicted increased odds of antisocial problems at age 22 to 26 years. CONCLUSIONS: ELBW survivorsand NBW participants are vulnerable to the adverse psychiatric effects of childhood peer victimization in adulthood.

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Mental Health of Extremely Low Birth Weight Survivors in Their 30s

Cited by 128 publications

References 42 publications

Pediatric Neurosurgery Patients Need More than a Pediatric Neurosurgeon. Part II. A Clinical Report: In the USA Lack of Parent/Caregiver Compliance Interferes with the Patient Care Sequence

Pediatric Neurosurgery Patients Need More than a Pediatric Neurosurgeon. Part II. A Clinical Report: In the USA Lack of Parent/Caregiver Compliance Interferes with the Patient Care Sequence

Fetal umbilical artery Doppler pulsatility index and childhood neurocognitive outcome at 12 years

Long-term Psychiatric Impact of Peer Victimization in Adults Born at Extremely Low Birth Weight

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