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Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population‐based birth cohort
Author(s) -
Monfils Gustafsson W.,
Josefsson A.,
Ekholm Selling K.,
Sydsjö G.
Publication year - 2009
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2008.01267.x
Subject(s) - small for gestational age , medicine , pediatrics , population , anxiety , psychiatry , cohort study , cohort , gestational age , pregnancy , genetics , environmental health , biology
Objective: Preterm birth and restricted foetal growth are related to symptoms of psychiatric disorder. Our aim was therefore to investigate possible relations between being born preterm and/or small for gestational age (SGA) and later psychiatric hospitalization. Method: A population‐based registry study of psychiatric hospitalization of in total 155 994 boys and 148 281 girls born in Sweden in 1973–1975. Results: The risk of hospitalization for all mental disorders was increased for preterm SGA boys (OR 2.19, 95% CI 1.49–3.21); at‐term SGA boys (OR 1.55, 95% CI 1.34–1.79); at‐term SGA girls (OR 1.31, 95% CI 1.15–1.50). At‐term SGA boys and girls suffered increased risk of anxiety and adjustment disorders (OR 1.70, 95% CI 1.18–2.45 and OR 1.49, 95% CI 1.14–1.94). Preterm SGA boys were at risk of personality disorders (OR 3.30, 95% CI 1.16–9.41) and psychotic disorders (OR 4.36, 95% CI 1.85–10.30). Conclusion: The results show a relationship between being born SGA and later psychiatric hospitalization, where preterm birth and male gender seem to increase the risk.