Psychiatric symptoms in low birth weight adolescents, assessed by screening questionnaires
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The aim of this study was to explore psychiatric symptoms in low birth weight adolescents, and the usefulness of questionnaires compared with psychiatric interview.
A population-based follow-up study of 56 very low birth weight (VLBW), 60 term small for gestational age (SGA) and 83 control adolescents at 14 years of age was made.
The Achenbach System of Empirically Based Assessment (ASEBA) and the Strengths and Difficulties Questionnaire (SDQ) were rated by adolescents, parents and teachers. The results were compared with diagnostic assessment based on the semi-structured interview, Schedule for Affective Disorders and Schizophrenia for School Aged Children (K-SADS).
VLBW adolescents had more psychiatric symptoms than controls, especially attention deficit, emotional, behavioural, social and also academic problems. Although less consistent, the SGA group had more emotional, conduct and attention deficit symptoms than controls. Results remained essentially the same when adolescents with low estimated IQ were excluded, and persisted after controlling for possible confounders. The sensitivity and specificity of ASEBA and SDQ differed between informants and groups.
VLBW adolescents are at risk of developing psychiatric symptoms, and reduced social and academic skills by the age of 14. Term SGA adolescents may have discrete emotional, behavioural and attention deficit symptoms. ASEBA and SDQ provide a useful supplement to psychiatric interview.
Key wordsadolescent mental health psychiatry small for gestational age very low birth weight
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- 1.Achenbach TM, Rescorla LA (2001) Manual for the ASEBA School-Age Forms and Profiles. University of Vermont, Research Center for Children, Youth, and Families, BurlingtonGoogle Scholar
- 2.Altman DG (1999) Practical statistics for medical research. Chapman and Hall, LondonGoogle Scholar
- 8.Derogatis LR (1994) Symptom Checklist-90-R. Administration, Scoring, and Procedures Manual. NCS Pearson Inc., MinneapolisGoogle Scholar
- 9.Elgen I, Sommerfelt K, Markestad T (2002) Population based, controlled study of behavioural problems and psychiatric disorders in low birthweight children at 11 years of age. Arch Dis Child 87:F128–F132Google Scholar
- 13.Graham P, Turk J, Verhulst F (1999) Child psychiatry. A developmental approach. Third Edition. Oxford University Press, OxfordGoogle Scholar
- 18.Hollingshead AB (1958) Two factor index of social position. Yale University; New HavenGoogle Scholar
- 20.Horwood LJ, Mogridge N, Darlow BA (1998) Cognitive, educational, and behavioural outcomes at 7 to 8 years in a national very low birthweight cohort. Arch Dis Child 79:F12–F20Google Scholar
- 22.Indredavik MS, Vik T, Heyerdahl S, Kulseng S, Fayers P, Brubakk AM (2004) Psychiatric symptoms and disorders in adolescents with low birth weight. Arch Dis Child 89:F445–F450Google Scholar
- 24.Levy-Shiff R, Einat G, Har-Even D, Mogilner M, Mogilner S, Lerman M, Krikler R (1994) Emotional and behavioral adjustment in children born prematurely. J Clin Child Psychol 23:323–333Google Scholar
- 29.Rosner B (2000) Fundamental of biostatistics, 5th ed. Thomson Learning, DuxburyGoogle Scholar
- 32.Seiffge-Krenke I, Kollmar F (1998) Discrepancies between mothers’ and fathers’ perceptions of sons’ and daughters’ problem behaviour: a longitudinal analysis of parent-adolescent agreement on internalising and externalising problem behaviour. J Child Psychol Psychiatry 39:687–697CrossRefPubMedGoogle Scholar
- 33.Skranes JS, Vik T, Nilsen G, Smevik O, Andersson HW, Brubakk AM (1997) Cerebral magnetic resonance imaging and mental and motor function of very low birth weight children at six years of age. Neuropediatrics 28:1–7Google Scholar
- 35.Stevenson CJ, Blackburn P, Pharoah POD (1999) Longitudinal study of behaviour disorders in low birthweight infants. Arch Dis Child 81:F5–F9Google Scholar
- 39.Szatmari P, Saigal S, Rosenbaum P, Campbell D (1993) Psychopathology and adaptive functioning among extremely low birthweight children at eight years of age. Dev Psychopathol 5:345–357Google Scholar
- 42.Vik T, Markestad T, Ahlsten G, Gebre-Medin M, Hoffman HJ, Jacobsen G, Bakketeig LS (1997) Body proportions and early neonatal morbidity in small for gestational age infants of successive births. Acta Obstetr Gynecol Scand 76(Suppl):80–85Google Scholar
- 43.Wechsler D (1999) Wechsler Intelligence Scale for Children—Third Edition, Manual. Psykologiförlaget AB, StockholmGoogle Scholar
- 46.Whitfield MF, Eckstein Grunau RV, Holsti L (1997) Extremely premature (<800 g) schoolchildren:multiple areas of hidden disability. Arch Dis Child 77:F85–F90Google Scholar