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Psychiatric outcomes at age seven for very preterm children: rates and predictors
Author(s) -
Treyvaud Karli,
Ure Alexandra,
Doyle Lex W,
Lee Katherine J,
Rogers Cynthia E,
Kidokoro Hiroyuki,
Inder Terrie E,
Anderson Peter J
Publication year - 2013
Publication title -
journal of child psychology and psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.652
H-Index - 211
eISSN - 1469-7610
pISSN - 0021-9630
DOI - 10.1111/jcpp.12040
Subject(s) - medicine , psychiatry , odds ratio , anxiety , pediatrics , autism spectrum disorder , medical diagnosis , strengths and difficulties questionnaire , autism , psychology , mental health , pathology
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 = .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 = .02), those who displayed social‐emotional problems at age 5 ( p = .000) and those with higher social risk at age 7 ( p = .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.