Rates and Stability of Mental Health Disorders in Children Born Very Preterm at 7 and 13 Years
- 1 May 2020
- journal article
- research article
- Published by American Academy of Pediatrics (AAP) in PEDIATRICS
- Vol. 145 (5)
- https://doi.org/10.1542/peds.2019-2699
Abstract
OBJECTIVES: Children born very preterm (VPT) are at an increased risk of developing mental health (MH) disorders. Our aim for this study was to assess rates of MH disorders in children born VPT and term at 13 years of age and stability of MH disorders between ages 7 and 13 years by using a diagnostic measure. METHODS: Participants were from the Victorian Infant Brain Study longitudinal cohort and included 125 children born VPT (RESULTS: Compared with term peers, 13-year-olds born VPT were more likely to meet criteria for any MH disorder (odds ratio 5.9; 95% confidence interval 1.71–20.03). Anxiety was the most common disorder in both groups (VPT = 14%; term = 4%), whereas attention-deficit/hyperactivity disorder carried the greatest differential elevated risk (odds ratio 5.6; 95% confidence interval 0.71–43.80). Overall rates of MH disorders remained stable between 7 and 13 years, although at an individual level, many participants shifted in or out of diagnostic categories over time. CONCLUSIONS: Children born VPT show higher rates of MH disorders than their term peers, with changing trajectories over time. Findings highlight the importance of early identification and ongoing assessment to support those with MH disorders in this population.Keywords
This publication has 31 references indexed in Scilit:
- Psychiatric outcomes at age seven for very preterm children: rates and predictorsJournal of Child Psychology and Psychiatry, 2013
- Foetal origins of depression? A systematic review and meta-analysis of low birth weight and later depressionPsychological Medicine, 2012
- Anxiety and Anxiety Disorders in Children and Adolescents: Developmental Issues and Implications for DSM-VPsychiatric Clinics of North America, 2009
- Very preterm children show impairments across multiple neurodevelopmental domains by age 4 yearsArchives of Disease in Childhood: Fetal & Neonatal, 2009
- Parenting Behavior Is Associated With the Early Neurobehavioral Development of Very Preterm ChildrenPEDIATRICS, 2009
- Pervasive Behavior Problems at 6 Years of Age in a Total-Population Sample of Children Born at ≤25 Weeks of GestationPEDIATRICS, 2008
- Separation Anxiety Disorder in Childhood as a Risk Factor for Future Mental IllnessJournal of the American Academy of Child & Adolescent Psychiatry, 2008
- Cognitive and Educational Deficits in Children Born Extremely PretermSeminars in Perinatology, 2008
- Factors Associated With Age of Diagnosis Among Children With Autism Spectrum DisordersPEDIATRICS, 2005
- Prevalence, Stability, and Predictors of Clinically Significant Behavior Problems in Low Birth Weight Children at 3, 5, and 8 Years of AgePEDIATRICS, 2004