Abstract
Objective
The aim of this study was to explore psychiatric symptoms in low birth weight adolescents, and the usefulness of questionnaires compared with psychiatric interview.
Design/study groups
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.
Outcome measures
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).
Results
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.
Conclusion
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.
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References
Achenbach TM, Rescorla LA (2001) Manual for the ASEBA School-Age Forms and Profiles. University of Vermont, Research Center for Children, Youth, and Families, Burlington
Altman DG (1999) Practical statistics for medical research. Chapman and Hall, London
Ambrosini PJ (2000) Historical development and present status of the schedule for affective disorders and schizophrenia for school-aged children (K-SADS). J Am Acad Child Adolesc Psychiatry 39:49–58
Botting N, Powls A, Cooke RWI (1997) Attention deficit hyperactivity disorders and other psychiatric outcomes in very low birthweight children at 12 years. J Child Psychol Psychiatry 38:931–941
Botting N, Powls A, Cooke RWI, Marlow N (1998) Cognitive and educational outcome of very-low-birthweight children in early adolescence. Dev Med Child Neurol 40:652–660
Breslau N, Brown GG, DelDotto JE, Kumar S, Ezhuthachan S, Andreski P, Hufnagle KG (1996) Psychiatric sequelae of low birth weight at 6 years of age. J Abnorm Child Psychol 24:385–400
Cooke RWI (2004) Health, lifestyle, and quality of life for young adults born very preterm. Arch Dis Childhood 89:201–206
Derogatis LR (1994) Symptom Checklist-90-R. Administration, Scoring, and Procedures Manual. NCS Pearson Inc., Minneapolis
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–F132
Goodman R (1999) The extended version of the strengths and difficulties questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry 40:791–799
Goodman R, Ford T, Simmons H, Gatward R, Meltzer H (2000) Using the strengths and difficulties questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539
Goodman R, Scott S (1999) Comparing the strengths and difficulties questionnaire and the child behavior checklist: is small beautiful? J Abnorm Child Psychol 27:17–24
Graham P, Turk J, Verhulst F (1999) Child psychiatry. A developmental approach. Third Edition. Oxford University Press, Oxford
Hack M (1998) Effects of intrauterine growth retardation on mental performance and behavior, outcomes during adolescence and adulthood. Eur J Clin Nutr 52:S65–S71
Hack M, Flannery DJ, Schluchter M, Cartar L, Borawski E, Klein N (2002) Outcomes in young adulthood for very-low-birth-weight infants. N Engl J Med 346:149–157
Handwerk ML, Larzelere RE, Soper SH, Friman PC (1999) Parent and child discrepancies in reporting severity of problem behaviors in three out-of-home settings. Psychol Assess 11:14–23
Hille ETM, Ouden ALD, Saigal S, Wolke D, Lambert M, Whitaker A, Pinto-Martin JA, Hoult L, Meyer R, Feldman JF, Verloove-Vanhorick SP, Paneth N (2001) Behavioural problems in children who weigh 1000g or less at birth in four countries. Lancet 357:1641–1643
Hollingshead AB (1958) Two factor index of social position. Yale University; New Haven
Hollo O, Rautava P, Korhonen T, Helenius H, Kero P, Sillanpää M (2002) Academic achievement of small-for-gestational-age children at age 10 years. Arch Pediatr Adolesc Med 156:179–187
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–F20
Huberty TJ, Austin JK, Harezlak J, Dunn DW, Ambrosius WT (2000) Informant agreement in behavior ratings for children with epilepsy. Epilepsy Behav 1:427–435
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–F450
Larroque B, Bertrais S, Czernichow P, Léger J (2001) School difficulties in 20-year-olds who were born small for gestational age at term in a regional cohort study. Pediatrics 108:111–115
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 23:323–333
Levy-Shiff R, Einat G, Mogilner MB, Lerman M, Krikler R (1994) Biological and environmental correlates of developmental outcome of prematurely born infants in early adolescence. J Pediatr Psychol 19:63–78
O’Keeffe MJ, O’Callaghan M, Williams GM, Najman JM, Bor W (2003) Learning, cognitive, and attentional problems in adolescents born small for gestational age. Pediatrics 112:301–307
Paz I, Laor A, Gale R, Harlap S, Stevenson DK, Seidman D (2001) Term infants with fetal growth restriction are not at increased risk for low intelligence scores at age 17 years. J Pediatr 138:87–91
Rickards AL, Kelly EA, Doyle LW, Callanan C (2001) Cognition, academic progress, behavior and self-concept at 14 years of very low birth weight children. J Dev Behav Pediatr 22:11–18
Rosner B (2000) Fundamental of biostatistics, 5th ed. Thomson Learning, Duxbury
Saigal S, Pinelli J, Hoult L, Kim MM, Boyle M (2003) Psychopathology and social competencies of adolescents who were extremely low birth weight. Pediatrics 111:969–975
Schothorst PF, van Engeland H (1996) Long-term behavioral sequelae of prematurity. J Am Acad Child Adolesc Psychiatry 35:175–183
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 39:687–697
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 28:1–7
Skranes JS, Vik T, Nilsen G, Smevik O, Andersson HW, Rinck P, Brubakk AM (1993) Cerebral magnetic resonance imaging (MRI) and mental and motor function of very low birth weight infants at one year of corrected age. Neuropediatrics 24:256–262
Stevenson CJ, Blackburn P, Pharoah POD (1999) Longitudinal study of behaviour disorders in low birthweight infants. Arch Dis Child 81:F5–F9
Stjernqvist K, Svenningsen NW (1999) Ten-year follow-up of children born before 29 gestational weeks: health, cognitive development, behaviour and school achievement. Acta Paediatr 88:557–562
Strauss RS (2000) Adult functional outcome of those born small for gestational age. J Am Med Assoc 283:625–632
Sykes DH, Hoy EA, Bill JM, McClure BG, Halliday HL, Reid MM (1997) Behavioural adjustment in school of very low birthweight children. J Child Psychol Psychiatry 38:315–325
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 5:345–357
Taylor HG, Klein N, Minich NM, Hack M (2000) Middle-school-age outcomes in children with very low birthweight. Child Dev 71:1495–511
Vik T, Jacobsen G, Vatten L, Bakketeig LS (1996) Pre- and post-natal growth in children of women who smoked in pregnancy. Early Hum Dev 45:245–255
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):80–85
Wechsler D (1999) Wechsler Intelligence Scale for Children—Third Edition, Manual. Psykologiförlaget AB, Stockholm
Westwood M, Kramer MS, Munz D, Lovett JM, Watters GV (1983) Growth and development of full-term non-asphyxiated small-for-gestational-age Newborns: follow-up through adolescence. Pediatrics 71:376–382
Whitaker AH, Van Rossem R, Feldman JF, Schonfeld IS, Pinto-Martin JA, Torre C, Shaffer D, Paneth N (1997) Psychiatric outcomes in low-birth-weight children at age 6 years: relation to neonatal cranial ultrasound abnormalities. Arch Gen Psychiatry 54:847–856
Whitfield MF, Eckstein Grunau RV, Holsti L (1997) Extremely premature (<800 g) schoolchildren:multiple areas of hidden disability. Arch Dis Child 77:F85–F90
Wolke D (1998) Psychological development of prematurely born children. Arch Dis Child 78:567–570
Zubrick SR, Kurinczuk JJ, McDermott BMC, McKelvey PS, Silburn SR, Davies LC (2000) Fetal growth and subsequent mental health problems in children aged 4 to 13 years. Dev Med Child Neurol 42:14–20
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Indredavik, M.S., Vik, T., Heyerdahl, S. et al. Psychiatric symptoms in low birth weight adolescents, assessed by screening questionnaires. Europ.Child & Adolescent Psych 14, 226–236 (2005). https://doi.org/10.1007/s00787-005-0459-6
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DOI: https://doi.org/10.1007/s00787-005-0459-6