Mental health at 5 years among children born extremely preterm: a national population-based study

Elgen, Silje Katrine; Leversen, Katrine Tyborg; Grundt, Jacob Holter; Hurum, Jørgen; Sundby, Anne Berit; Elgen, Irene Bircow; Markestad, Trond

doi:10.1007/s00787-012-0298-1

Cited by 48 publications

(41 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…51 This may also be the case for the EP/ELBW group, since the attending children had a higher proportion of mothers with high education than not, which is associated with less-frequent mental health problems for their children. 24 Values are expressed as n (%) unless noted otherwise. a Both parent-and teacher-reported problems at or above cutoff.…”

Section: Discussionmentioning

confidence: 99%

“…Characteristics of the cohort, definitions of neonatal characteristics, and overall outcome in terms of mortality and morbidity until 5 years of age have been published. 13,24,30,31 At 11 years of age, the EP/ELBW cohort consisted of 372 children (Fig 1). Children who at 5 years had an IQ <70, nonambulatory CP (class 4 or 5 on the Gross Motor Function Classification for CP), 32 deafness, or blindness 13 were excluded (n = 33).…”

Section: Ep/elbw Groupmentioning

confidence: 99%

“…[16][17][18][19] Assessment of mental health in children with severe NDDs, such as intellectual disability (ID) (IQ <70), requires appropriately validated tools, 18,20,21 but most EP/ELBW studies have included children with severe NDDs without using instruments validated for this subgroup. [1][2][3][4][5][6][7][8][9][10][11][12][22][23][24] In subanalyses, some studies have found increased risk of mental health problems in EP/ELBW children without severe NDDs, but frequencies and effect sizes were not reported. 2,4,12 In term-born children, more boys tend to have hyperactivity, impulsivity, 25 and autistic symptoms 26 than girls, whereas girls more often tend to have anxiety symptoms.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Mental Health in Children Born Extremely Preterm Without Severe Neurodevelopmental Disabilities

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Ep/elbw Groupmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Mental Health in Children Born Extremely Preterm Without Severe Neurodevelopmental Disabilities

et al. 2016

Self Cite

View full text Add to dashboard Cite

show abstract

“…Deficits in regulation of emotions and problems in situations requiring adaptation to changing social conditions are frequently observed in premature children (Elgen et al, 2012;Reijneveld et al, 2006;Skiöld, 2011;Wolke, 2010). With high probability, as children get older, emotional and behavioral problems may affect academic functioning (Reijneveld et al, 2006;Wolke, 2010).…”

Section: Health Psychology Reportmentioning

confidence: 99%

Hot and cool executive functions in very and extremely preterm preschool children

Walczak¹,

Chrzan-Dętkoś²

2017

Health Psychology Report

View full text Add to dashboard Cite

Background In most countries, premature deliveries constitute 5% to 18% of births. Some preterm children, especially those born before 32 weeks of pregnancy, experience serious medical complications, which can affect their subsequent development and functioning. Even those who have an IQ within the normal range can be at risk of worse functioning. This study aimed to investigate the differences in development of hot and cool aspects of executive functions in children born prematurely in comparison to those born on time. It is also focused on evaluating relationships between executive functions in premature children and their socio-emotional competences. Participants and procedure All children participating in the study were preschoolers. The sample consisted of 20 children born before 32 weeks of gestation and 28 term controls (children born on time). Hot and cool aspects of executive functions were examined in both groups using tasks extracted from the Preschool Self-Regulation Assessment (PSRA). Parents of children born prematurely also completed the Strengths and Difficulties Questionnaire (SDQ), which is a brief behavioral screening questionnaire that consists of five scales: emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems and prosocial behavior. Results Premature children scored lower for both hot and cool executive functions in comparison to the children born at term in two of the five tasks. In addition, an association between worse executive functioning and more severe problems was found in the preterm group. This link applies to both general and specific problems, such as hyperactivity/inattention and behavioral problems. Conclusions Prematurely born children may have larger deficits both in hot and cool aspects of executive functions compared to their peers born at term. Deficits in hot aspect may be reflected in hyperactivity/inattention symptoms and conduct problems, whereas difficulties in cool aspect may be more related to the general picture of problems in prematurely born children.

show abstract

“…203 Moreover, these problems are already evident on parent-reported behavioural screening questionnaires in the pre-school years. [204][205][206][207][208] If the constellation of behavioural outcomes associated with very preterm birth extends across birth at LMPT gestations, we would expect to find increased parent-reported behaviour problems at 2 years, albeit with less severity and lower prevalence. This finding may thus be indicative of a different behavioural profile among LMPT children from that among those born very preterm.…”

Section: Discussionmentioning

confidence: 96%

Towards reducing variations in infant mortality and morbidity: a population-based approach

Field

Boyle

Draper

et al. 2016

Programme Grants Appl Res

View full text Add to dashboard Cite

BackgroundOur aims were (1) to improve understanding of regional variation in early-life mortality rates and the UK’s poor performance in international comparisons; and (2) to identify the extent to which late and moderately preterm (LMPT) birth contributes to early childhood mortality and morbidity.ObjectiveTo undertake a programme of linked population-based research studies to work towards reducing variations in infant mortality and morbidity rates.DesignTwo interlinked streams: (1) a detailed analysis of national and regional data sets and (2) establishment of cohorts of LMPT babies and term-born control babies.SettingCohorts were drawn from the geographically defined areas of Leicestershire and Nottinghamshire, and analyses were carried out at the University of Leicester.Data sourcesFor stream 1, national data were obtained from four sources: the Office for National Statistics, NHS Numbers for Babies, Centre for Maternal and Child Enquiries and East Midlands and South Yorkshire Congenital Anomalies Register. For stream 2, prospective data were collected for 1130 LMPT babies and 1255 term-born control babies.Main outcome measuresDetailed analysis of stillbirth and early childhood mortality rates with a particular focus on factors leading to biased or unfair comparison; review of clinical, health economic and developmental outcomes over the first 2 years of life for LMPT and term-born babies.ResultsThe deprivation gap in neonatal mortality has widened over time, despite government efforts to reduce it. Stillbirth rates are twice as high in the most deprived as in the least deprived decile. Approximately 70% of all infant deaths are the result of either preterm birth or a major congenital abnormality, and these are heavily influenced by mothers’ exposure to deprivation. Births at < 24 weeks’ gestation constitute only 1% of all births, but account for 20% of infant mortality. Classification of birth status for these babies varies widely across England. Risk of LMPT birth is greatest in the most deprived groups within society. Compared with term-born peers, LMPT babies are at an increased risk of neonatal morbidity, neonatal unit admission and poorer long-term health and developmental outcomes. Cognitive and socioemotional development problems confer the greatest long-term burden, with the risk being amplified by socioeconomic factors. During the first 24 months of life each child born LMPT generates approximately £3500 of additional health and societal costs.ConclusionsHealth professionals should be cautious in reviewing unadjusted early-life mortality rates, particularly when these relate to individual trusts. When more sophisticated analysis is not possible, babies of < 24 weeks’ gestation should be excluded. Neonatal services should review the care they offer to babies born LMPT to ensure that it is appropriate to their needs. The risk of adverse outcome is low in LMPT children. However, the risk appears higher for some types of antenatal problems and when the mother is from a deprived background.Future workFuture work could include studies to improve our understanding of how deprivation increases the risk of mortality and morbidity in early life and investigation of longer-term outcomes and interventions in at-risk LMPT infants to improve future attainment.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

show abstract

Mental health at 5 years among children born extremely preterm: a national population-based study

Cited by 48 publications

References 23 publications

Mental Health in Children Born Extremely Preterm Without Severe Neurodevelopmental Disabilities

Mental Health in Children Born Extremely Preterm Without Severe Neurodevelopmental Disabilities

Hot and cool executive functions in very and extremely preterm preschool children

Towards reducing variations in infant mortality and morbidity: a population-based approach

Contact Info

Product

Resources

About