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Trajectories of behavior, attention, social and emotional problems from childhood to early adulthood following extremely preterm birth: a prospective cohort study

European child & adolescent psychiatry, 2019-04, Vol.28 (4), p.531-542 [Peer Reviewed Journal]

The Author(s) 2018 ;European Child & Adolescent Psychiatry is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 1018-8827 ;EISSN: 1435-165X ;DOI: 10.1007/s00787-018-1219-8 ;PMID: 30191335

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Title:
Trajectories of behavior, attention, social and emotional problems from childhood to early adulthood following extremely preterm birth: a prospective cohort study
Author: Linsell, Louise ; Johnson, Samantha ; Wolke, Dieter ; Morris, Joan ; Kurinczuk, Jennifer J. ; Marlow, Neil
Subjects: Activities of daily living ; Adolescent ; Adults ; Affective Symptoms - diagnosis ; Affective Symptoms - epidemiology ; Affective Symptoms - psychology ; Age ; Assessment ; Attention - physiology ; Attention deficits ; Behavior ; Birth ; Child ; Child & adolescent psychiatry ; Child and Adolescent Psychiatry ; Child Behavior Disorders - diagnosis ; Child Behavior Disorders - epidemiology ; Child Behavior Disorders - psychology ; Childbirth & labor ; Childhood ; Children ; Cognitive ability ; Cognitive aspects ; Cognitive impairment ; Cognitive-Behavioural factors ; Cohort analysis ; Cohort Studies ; Emotional behavior ; Emotional disturbance ; Emotional-Behavioural problems ; Emotions ; Female ; Friendships ; Gestation ; Humans ; Hyperactivity ; Infancy ; Infant ; Infant, Extremely Premature - physiology ; Infant, Extremely Premature - psychology ; Infant, Newborn ; Infants ; Ireland - epidemiology ; Leisure ; Life course ; Male ; Medicine ; Medicine & Public Health ; Original Contribution ; Peer Group ; Pregnancy ; Premature birth ; Premature Birth - diagnosis ; Premature Birth - epidemiology ; Premature Birth - psychology ; Prospective Studies ; Psychiatry ; Questionnaires ; Recreation ; Social behavior ; Social Behavior Disorders - diagnosis ; Social Behavior Disorders - epidemiology ; Social Behavior Disorders - psychology ; Survivor ; United Kingdom - epidemiology ; Young Adult ; Young adults
Is Part Of: European child & adolescent psychiatry, 2019-04, Vol.28 (4), p.531-542
Description: To investigate trajectories of behavior, attention, social and emotional problems to early adulthood in extremely preterm survivors compared to a term-born comparison group. Longitudinal analysis of a prospective, population-based cohort of 315 surviving infants born < 26 completed weeks of gestation recruited at birth in 1995, from the UK/Republic of Ireland, and a term-born comparison group recruited at age 6. The parent-report Strengths and Difficulties Questionnaire was completed at age 6, 11, 16 and 19 years. The Total Behavioral Difficulties Score was 4.81 points higher in extremely preterm individuals compared to their term-born peers over the period (95% CI 3.76–5.87, p < 0.001) and trajectories were stable in both groups. The impact of difficulties on home life, friendships, school or work and/or leisure activities was greater in the EPT group (RR 4.28, 95% CI 2.89–6.35, p < 0.001), and hyperactivity/inattention and peer problems accounted for the largest differences. A clinically significant behavioral screen at age 2.5 was associated with a higher Total Behavioral Difficulties Score from 6 years onwards in extremely preterm participants (Mean difference 6.90, 95% CI 5.01–8.70, p < 0.0.01), as was moderate/severe cognitive impairment at last assessment (Mean difference: 4.27, 95% CI 2.76–5.77, p < 0.001). Attention, social and emotional problems in extremely preterm individuals persist into early adulthood with significant impact on daily life. A positive behavioral screen in infancy and moderate/severe cognitive impairment are associated with early adult outcomes.
Publisher: Berlin/Heidelberg: Springer Berlin Heidelberg
Language: English
Identifier: ISSN: 1018-8827
EISSN: 1435-165X
DOI: 10.1007/s00787-018-1219-8
PMID: 30191335
Source: ProQuest One Psychology
Springer Open Access
MEDLINE
ProQuest Central

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Trajectories of behavior, attention, social and emotional problems from childhood to early adulthood following extremely preterm birth: a prospective cohort study

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