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Perinatal risk and psychiatric outcome in adolescents born preterm with very low birth weight or term small for gestational age.
J Dev Behav Pediatr. 2010 May; 31(4):286-94.JD

Abstract

OBJECTIVE

To study perinatal risk factors for psychiatric symptoms in adolescents born preterm with very low birth weight or at term, but small for gestational age (GA).

METHOD

Mental health was assessed in 65 adolescents born with very low birth weight (VLBW) (birth weight < or = 1500 g), 59 born term small for GA (birth weight <10th centile) and 81 control adolescents using Schedule for Affective Disorders and Schizophrenia for School-Age Children, Children's Global Assessment Scale, Autism Spectrum Screening Questionnaire, Attention-Deficit Hyperactivity Disorder-Rating Scale IV and Achenbach System of Empirically Based Assessment. Perinatal data included birth weight, GA, head circumference, Apgar scores, intraventricular hemorrhage, days in neonatal intensive care unit, and days on mechanical ventilation.

RESULTS

In the very low birth weight group, lower birth weight was associated with inattention (p < .01), psychiatric diagnoses, and reduced psychosocial function (p < or = .05). Intraventricular hemorrhage increased the risk for a high inattention score (odds ratio = 7.5; 95% confidence intervals: 1.2-46.8). Lower Apgar score at 1 min was associated with a high Autism Spectrum Screening Questionnaire score and lower Apgar score at 5 min with a high internalizing score (p < or = .05). In the subgroup born appropriate for GA, internalizing symptoms were also associated with lower GA. In the term small for GA group, perinatal events were not associated with psychiatric problems. In contrast, low socioeconomic status was associated with externalizing symptoms.

CONCLUSION

Lower birth weight, shorter gestation, and intraventricular hemorrhage were risk factors for psychiatric problems in the very low birth weight group. Lower Apgar score increased the risk for autism spectrum symptoms and internalizing symptoms. Among adolescents born term small for GA, the main risk factor for psychiatric symptoms was low socioeconomic status.

Authors+Show Affiliations

Department of Neuroscience, Norwegian University of Science and Technology, NO-7489 Trondheim, Norway. marit.s.indredavik@ntnu.noNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20431402

Citation

Indredavik, Marit S., et al. "Perinatal Risk and Psychiatric Outcome in Adolescents Born Preterm With Very Low Birth Weight or Term Small for Gestational Age." Journal of Developmental and Behavioral Pediatrics : JDBP, vol. 31, no. 4, 2010, pp. 286-94.
Indredavik MS, Vik T, Evensen KA, et al. Perinatal risk and psychiatric outcome in adolescents born preterm with very low birth weight or term small for gestational age. J Dev Behav Pediatr. 2010;31(4):286-94.
Indredavik, M. S., Vik, T., Evensen, K. A., Skranes, J., Taraldsen, G., & Brubakk, A. M. (2010). Perinatal risk and psychiatric outcome in adolescents born preterm with very low birth weight or term small for gestational age. Journal of Developmental and Behavioral Pediatrics : JDBP, 31(4), 286-94. https://doi.org/10.1097/DBP.0b013e3181d7b1d3
Indredavik MS, et al. Perinatal Risk and Psychiatric Outcome in Adolescents Born Preterm With Very Low Birth Weight or Term Small for Gestational Age. J Dev Behav Pediatr. 2010;31(4):286-94. PubMed PMID: 20431402.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perinatal risk and psychiatric outcome in adolescents born preterm with very low birth weight or term small for gestational age. AU - Indredavik,Marit S, AU - Vik,Torstein, AU - Evensen,Kari Anne I, AU - Skranes,Jon, AU - Taraldsen,Gunnar, AU - Brubakk,Ann-Mari, PY - 2010/5/1/entrez PY - 2010/5/1/pubmed PY - 2010/8/6/medline SP - 286 EP - 94 JF - Journal of developmental and behavioral pediatrics : JDBP JO - J Dev Behav Pediatr VL - 31 IS - 4 N2 - OBJECTIVE: To study perinatal risk factors for psychiatric symptoms in adolescents born preterm with very low birth weight or at term, but small for gestational age (GA). METHOD: Mental health was assessed in 65 adolescents born with very low birth weight (VLBW) (birth weight < or = 1500 g), 59 born term small for GA (birth weight <10th centile) and 81 control adolescents using Schedule for Affective Disorders and Schizophrenia for School-Age Children, Children's Global Assessment Scale, Autism Spectrum Screening Questionnaire, Attention-Deficit Hyperactivity Disorder-Rating Scale IV and Achenbach System of Empirically Based Assessment. Perinatal data included birth weight, GA, head circumference, Apgar scores, intraventricular hemorrhage, days in neonatal intensive care unit, and days on mechanical ventilation. RESULTS: In the very low birth weight group, lower birth weight was associated with inattention (p < .01), psychiatric diagnoses, and reduced psychosocial function (p < or = .05). Intraventricular hemorrhage increased the risk for a high inattention score (odds ratio = 7.5; 95% confidence intervals: 1.2-46.8). Lower Apgar score at 1 min was associated with a high Autism Spectrum Screening Questionnaire score and lower Apgar score at 5 min with a high internalizing score (p < or = .05). In the subgroup born appropriate for GA, internalizing symptoms were also associated with lower GA. In the term small for GA group, perinatal events were not associated with psychiatric problems. In contrast, low socioeconomic status was associated with externalizing symptoms. CONCLUSION: Lower birth weight, shorter gestation, and intraventricular hemorrhage were risk factors for psychiatric problems in the very low birth weight group. Lower Apgar score increased the risk for autism spectrum symptoms and internalizing symptoms. Among adolescents born term small for GA, the main risk factor for psychiatric symptoms was low socioeconomic status. SN - 1536-7312 UR - https://www.unboundmedicine.com/medline/citation/20431402/Perinatal_risk_and_psychiatric_outcome_in_adolescents_born_preterm_with_very_low_birth_weight_or_term_small_for_gestational_age_ L2 - http://dx.doi.org/10.1097/DBP.0b013e3181d7b1d3 DB - PRIME DP - Unbound Medicine ER -