OBJECTIVE: To compare preschool children born moderately preterm (MP; 32-35 weeks' gestation) and children born at term (38-41 weeks' gestation) regarding the occurrence of behavioural and emotional problems, overall, for separate types of problems and by gender. DESIGN: Prospective cohort study consisting of a community-based sample of MP and a random sample of term-born children in 13 Preventive Child Healthcare centres throughout the Netherlands. PATIENTS: 995 MP and 577 term-born children just under age 4 were included. MAIN OUTCOME MEASURES: Behavioural and emotional problems were measured using the Child Behavior Checklist 1.5-5 years. Seven syndrome scales, internalising, externalising and total problems were determined. Higher scores indicate worse outcomes. RESULTS: MP children had higher scores on all syndrome scales, internalising, externalising and total problems than term-born controls. The mean difference on total problems was 4.04 (95% CI 2.08 to 6.00). Prevalence rates of elevated externalising problem scores were highest in boys (10.5%) and internalising problems were highest in girls (9.9%). MP children were at greater risk for somatic complaints (OR 1.92, 95% CI 1.09 to 3.38), internalising (OR 2.40, 95% CI 1.48 to 3.87), externalising (OR 1.69, 95% CI 1.07 to 2.67) and total problems (OR 1.84, 95% CI 1.12 to 3.00). CONCLUSIONS: Moderate preterm birth affects all domains of behavioural and emotional problems, particularly for girls. MP children should be targeted for the prevention of mental health problems as they have a great impact on developmental and social competencies at school and in the community.
OBJECTIVE: To compare preschool children born moderately preterm (MP; 32-35 weeks' gestation) and children born at term (38-41 weeks' gestation) regarding the occurrence of behavioural and emotional problems, overall, for separate types of problems and by gender. DESIGN: Prospective cohort study consisting of a community-based sample of MP and a random sample of term-born children in 13 Preventive Child Healthcare centres throughout the Netherlands. PATIENTS: 995 MP and 577 term-born children just under age 4 were included. MAIN OUTCOME MEASURES: Behavioural and emotional problems were measured using the Child Behavior Checklist 1.5-5 years. Seven syndrome scales, internalising, externalising and total problems were determined. Higher scores indicate worse outcomes. RESULTS: MP children had higher scores on all syndrome scales, internalising, externalising and total problems than term-born controls. The mean difference on total problems was 4.04 (95% CI 2.08 to 6.00). Prevalence rates of elevated externalising problem scores were highest in boys (10.5%) and internalising problems were highest in girls (9.9%). MP children were at greater risk for somatic complaints (OR 1.92, 95% CI 1.09 to 3.38), internalising (OR 2.40, 95% CI 1.48 to 3.87), externalising (OR 1.69, 95% CI 1.07 to 2.67) and total problems (OR 1.84, 95% CI 1.12 to 3.00). CONCLUSIONS: Moderate preterm birth affects all domains of behavioural and emotional problems, particularly for girls. MP children should be targeted for the prevention of mental health problems as they have a great impact on developmental and social competencies at school and in the community.
Authors: Marieke R Potijk; Andrea F de Winter; Arend F Bos; Jorien M Kerstjens; Sijmen A Reijneveld Journal: Eur Child Adolesc Psychiatry Date: 2014-10-08 Impact factor: 4.785
Authors: Anna I Girsen; Jonathan A Mayo; Matthew B Wallenstein; Jeffrey B Gould; Suzan L Carmichael; David K Stevenson; Deirdre J Lyell; Gary M Shaw Journal: J Matern Fetal Neonatal Med Date: 2017-04-03
Authors: Samantha Johnson; T Alun Evans; Elizabeth S Draper; David J Field; Bradley N Manktelow; Neil Marlow; Ruth Matthews; Stavros Petrou; Sarah E Seaton; Lucy K Smith; Elaine M Boyle Journal: Arch Dis Child Fetal Neonatal Ed Date: 2015-04-01 Impact factor: 5.747
Authors: Amanda L Smith; Courtney A Hill; Michelle Alexander; Caitlin E Szalkowski; James J Chrobak; Ted S Rosenkrantz; R Holly Fitch Journal: Brain Sci Date: 2014-04-02