Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-26T23:09:42.815Z Has data issue: false hasContentIssue false

Psychiatric disorders in low birthweight young adults. Prevalence and association with assessments at 11 years

Published online by Cambridge University Press:  15 April 2020

I.B. Elgen*
Affiliation:
Department of Clinical Medicine, University of Bergen, Bergen, Norway Department of Child and Adolescent Psychiatry, Haukeland University Hospital, Norway Department of Pediatric, Haukeland University Hospital, Norway
F. Holsten
Affiliation:
Department of Clinical Medicine, University of Bergen, Bergen, Norway
M.D. Odberg
Affiliation:
Department of Clinical Medicine, University of Bergen, Bergen, Norway
*
*Corresponding author. Department of Clinical Medicine, University of Bergen, N-5021 Bergen, Norway. Tel.: +47 55 97 4518; fax: +47 55 97 5146. E-mail address:[email protected] (I.B. Elgen).
Get access

Abstract

Objective

To compare mental health of 136 young adults without neurosensory handicaps born with low birthweight (LBW, birthweight less than 2000 g) with 132 adults with normal birthweight (NBW).

Method

A cohort of moderate LBW and NBW young adults were assessed with the Mini-International Neuropsychiatric Interview (MINI) at 19 years and the Children Assessment Schedule (CAS) at 11 years of age.

Results

At 19 years of age, 44 out of 136 (32%) LBW young adults were diagnosed with a psychiatric disorder compared to 10% NBW (OR: 2.8; 95% CI: 1.1, 4.5, P = 0.02). Among the LBW young adults, affective-, anxiety-, ADHD- and antisocial personality disorders were most common, and nine subjects (20%) had more than one diagnosis. Of 97 LBW subjects examined both at 11 and 19 years of age, 54 (56%) were mentally healthy though out adolescence. This was half as many as for controls (OR: 0.6; 95% CI: 0.3 to 0.9).

Conclusion

Moderate LBW was associated with an increased risk of psychiatric disorders in young adulthood. Only half of LBW young adults stayed healthy throughout adolescence.

Type
Original article
Copyright
Copyright © European Psychiatric Association

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Biederman, J, Mick, E, Faraone, SVAge-dependent decline of symptoms of attention deficit hyperactivity disorder: impact of remission definition and symptom type. Am J Psychiatry 2000;157(5):816818 [Epub 2000/04/28].CrossRefGoogle ScholarPubMed
Biederman, J, Monuteaux, MC, Mick, E, Spencer, T, Wilens, TE, Silva, JM, et al.Young adult outcome of attention deficit hyperactivity disorder: a controlled 10-year follow-up study. Psychol Med 2006;36(2):167179 [Epub 2006/01/20].CrossRefGoogle ScholarPubMed
Burnett, AC, Anderson, PJ, Cheong, J, Doyle, LW, Davey, CG, Wood, SJPrevalence of psychiatric diagnoses in preterm and full-term children, adolescents and young adults: a meta-analysis. Psychol Med 2011;112 [Epub 2011/07/08].CrossRefGoogle Scholar
Clark, CA, Woodward, LJ, Horwood, LJ, Moor, SDevelopment of emotional and behavioral regulation in children born extremely preterm and very preterm: biological and social influences. Child Dev 2008;79(5):14441462 [Epub 2008/10/02].CrossRefGoogle ScholarPubMed
Crump, C, Winkleby, MA, Sundquist, K, Sundquist, JPreterm birth and psychiatric medication prescription in young adulthood: a Swedish national cohort study. Int J Epidemiol 2010;39(6):15221530 [Epub 2010/06/24].CrossRefGoogle ScholarPubMed
Dahl, LB, Kaaresen, PI, Tunby, J, Handegard, BH, Kvernmo, S, Ronning, JAEmotional, behavioral, social, and academic outcomes in adolescents born with very low birthweight. Pediatrics 2006;118(2):e449e459 [Epub 2006/08/03].CrossRefGoogle Scholar
Elgen, I, Sommerfelt, KLow birthweight children: coping in school? Acta Paediatr 2002;91(8):939945 [Epub 2002/09/12].CrossRefGoogle ScholarPubMed
Elgen, I, Sommerfelt, K, Markestad, TPopulation based, controlled study of behavioural problems and psychiatric disorders in low birthweight children at 11 years of age. Arch Dis Child Fetal Neonatal Ed 2002;87(2):F128F132 [Epub 2002/08/24].CrossRefGoogle ScholarPubMed
Faraone, SV, Biederman, J, Mick, EThe age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studies. Psychol Med 2006;36(2):159165 [Epub 2006/01/20].CrossRefGoogle ScholarPubMed
Gau, SS, Chong, MY, Yang, P, Yen, CF, Liang, KY, Cheng, ATPsychiatric and psychosocial predictors of substance use disorders among adolescents: longitudinal study. Br J Psychiatry 2007;190:4248 [Epub 2007/01/02].CrossRefGoogle ScholarPubMed
Hack, MYoung adult outcomes of very low-birthweight children. Semin Fetal Neonatal Med 2006;11(2):127137 [Epub 2005/12/21].CrossRefGoogle Scholar
Hille, ET, den Ouden, AL, Saigal, S, Wolke, D, Lambert, M, Whitaker, A, et al.Behavioural problems in children who weigh 1000 g or less at birth in four countries. Lancet 2001;357(9269):16411643 [Epub 2001/06/27].CrossRefGoogle ScholarPubMed
Indredavik, MS, Vik, T, Heyerdahl, S, Kulseng, S, Fayers, P, Brubakk, AMPsychiatric symptoms and disorders in adolescents with low birthweight. Arch Dis Child Fetal Neonatal Ed 2004;89(5):F445F450 [Epub 2004/08/24].CrossRefGoogle Scholar
Johnson, S, Hollis, C, Kochhar, P, Hennessy, E, Wolke, D, Marlow, NPsychiatric disorders in extremely preterm children: longitudinal finding at age 11 years in the EPICure study. J Am Acad Child Adolesc Psychiatry 2010;49(5):453e1463e1 [Epub 2010/05/01].Google ScholarPubMed
Lindstrom, K, Lindblad, F, Hjern, APsychiatric morbidity in adolescents and young adults born preterm: a Swedish national cohort study. Pediatrics 2009;123(1):e47e53 [Epub 2009/01/02].CrossRefGoogle Scholar
Odberg, MD, Elgen, IBLow birthweight young adults: quality of life, academic achievements and social functioning. Acta Paediatr 2011;100(2):284288 [Epub 2010/12/01].CrossRefGoogle ScholarPubMed
Odberg, MD, Sommerfelt, K, Markestad, T, Elgen, IBGrowth and somatic health until adulthood of low birthweight children. Arch Dis Child Fetal Neonatal Ed 2010;95(3):F201F205 [Epub 2010/05/07].CrossRefGoogle ScholarPubMed
Odberg, MD, Aukland, SM, Rosendahl, K, Elgen, IBCerebral MRI and cognition in non-handicapped, low birthweight adults. Pediatr Neurol 2010;43(4):258262 [Epub 2010/09/15].CrossRefGoogle Scholar
Saigal, S, Pinelli, J, Hoult, L, Kim, MM, Boyle, MPsychopathology and social competencies of adolescents who were extremely low birthweight. Pediatrics 2003;111(5 Pt 1:969975 [Epub 2003/05/03].CrossRefGoogle Scholar
Schothorst, PF, Swaab-Barneveld, H, van Engeland, HPsychiatric disorders and MND in non-handicapped preterm children. Prevalence and stability from school age into adolescence. Eur Child Adolesc Psychiatry 2007;16(7):439448 [Epub 2007/09/27].CrossRefGoogle ScholarPubMed
Sheehan, DV, Lecrubier, Y, Sheehan, KH, Amorim, P, Janavs, J, Weiller, E, et al.The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59(Suppl. 20):2233 [quiz 4–57. Epub 1999/01/09].Google ScholarPubMed
Sheehan, DVLY, Harnett-Sheehan, K, Amorin, P, Janavs, JWE, et al.The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;59(Suppl. 20):2233.Google ScholarPubMed
Sommerfelt, K, Ellertsen, B, Markestad, TParental factors in cognitive outcome of non-handicapped low birthweight infants. Arch Dis Child Fetal Neonatal Ed 1995;73(3):F135F142 [Epub 1995/11/01].CrossRefGoogle ScholarPubMed
Walshe, M, Rifkin, L, Rooney, M, Healy, E, Nosarti, C, Wyatt, J, et al.Psychiatric disorder in young adults born very preterm: role of family history. Eur Psychiatry 2008;23(7):527531 [Epub 2008/09/09].CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.