Psychiatric Outcomes at Age Seven for Very Preterm Children: Rates and Predictors

Autor/inn/en	Treyvaud, Karli; Ure, Alexandra; Doyle, Lex W.; Lee, Katherine J.; Rogers, Cynthia E.; Kidokoro, Hiroyuki; Inder, Terrie E.; Anderson, Peter J.
Titel	Psychiatric Outcomes at Age Seven for Very Preterm Children: Rates and Predictors
Quelle	In: Journal of Child Psychology and Psychiatry, 54 (2013) 7, S.772-779 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0021-9630
DOI	10.1111/jcpp.12040
Schlagwörter	Psychiatry; Premature Infants; Predictor Variables; Children; Mental Disorders; Mental Health; Diagnostic Tests; Brain Hemisphere Functions; Emotional Disturbances; Social Adjustment; Risk; Family Characteristics; Questionnaires; Clinical Diagnosis; Foreign Countries; Regression (Statistics); Australia; Strengths and Difficulties Questionnaire + Suchen Sie Ihr Suchwort? Psychiatrie; Frühgeburt; Prädiktor; Child; Kind; Kinder; Mental illness; Geisteskrankheit; Psychohygiene; Diagnostic test; Diagnostischer Test; Gefühlsstörung; Soziale Anpassung; Risiko; Fragebogen; Ausland; Regression; Regressionsanalyse; Australien
Abstract	Background: Uncertainty remains about the rate of specific psychiatric disorders and associated predictive factors for very preterm (VPT) children. The aims of this study were to document rates of psychiatric disorders in VPT children aged 7 years compared with term born children, and to examine potential predictive factors for psychiatric diagnoses in VPT children. Methods: Participants were 177 VPT and 65 term born children. Perinatal medical data were collected, which included brain abnormalities detected using magnetic resonance imaging. The Infant-Toddler Social-Emotional Assessment (ITSEA) and Strengths and Difficulties Questionnaire (SDQ) were administered at 2 and 5 years respectively. At 7 years of age, the Developmental and Well-being Assessment (DAWBA) was used to indicate psychiatric diagnoses. Results: Compared with term born children, VPT children had three times the odds of meeting criteria for any psychiatric diagnosis at age 7 years (odds ratio 3.03; 95% confidence interval 1.23, 7.47, "p" = 0.02). The most common diagnoses were anxiety disorders (11% VPT, 8% term), attention-deficit/hyperactivity disorder (10% VPT, 3% term) and autism spectrum disorder (4.5% VPT, 0% term). For VPT children, those with severe global brain abnormalities ("p" = 0.02), those who displayed social-emotional problems at age 5 ("p" = 0.000) and those with higher social risk at age 7 ("p" = 0.001) were more likely to meet criteria for a psychiatric illness at age 7. Conclusions: Compared with term born children, VPT children have higher rates of psychiatric diagnoses at early school age, predicted by neonatal brain abnormalities, prior social-emotional problems and social factors. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10