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Behavioral Outcomes and Evidence of Psychopathology Among Very Low Birth Weight Infants at Age 20 Years
Information on the mental health of very low birth weight (VLBW;
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| Published in: | Pediatrics (Evanston) 2004-10, Vol.114 (4), p.932-940 |
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| container_end_page | 940 |
| container_issue | 4 |
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| container_title | Pediatrics (Evanston) |
| container_volume | 114 |
| creator | Hack, Maureen Youngstrom, Eric A Cartar, Lydia Schluchter, Mark Taylor, H. Gerry Flannery, Daniel Klein, Nancy Borawski, Elaine |
| description | Information on the mental health of very low birth weight (VLBW; |
| doi_str_mv | 10.1542/peds.2003-1017-L |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_66951064</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A123674303</galeid><sourcerecordid>A123674303</sourcerecordid><originalsourceid>FETCH-LOGICAL-c608t-a5de892ce378d7307f2acfa3a449181e59c11f6a19d68657f701ddd4381bd39c3</originalsourceid><addsrcrecordid>eNpt0s1r2zAYBnAzNtas232nIQYb7OBMsvylYxq6rmDIDvtgJ6FKr20VW0oluV3--8kkkGUEH2Ss3yOLlydJ3hK8JEWefd6C8ssMY5oSTKq0eZYsCGZ1mmdV8TxZxA2S5hgXF8kr7-8xxnlRZS-TixguS1xXi6S7gl48auvEgDZTkHYEj4RR6PpRKzASkG3RN7-Tvd2K0NvBdju0Gq3p0E9wO9TYJ3SlXejRL9BdH9CtaYUJ8YyAVh2gDKPfIJx_nbxoxeDhzWG9TH58uf6-_po2m5vb9apJZbxPSEWhoGaZBFrVqqK4ajMhW0FFnjNSEyiYJKQtBWGqrMuiaitMlFI5rcmdokzSy-Tj_tytsw8T-MBH7SUMgzBgJ8_LkhUEl3mE7_-D93ZyJt6NZ1lNWcGqGaV71IkBuDatDU7IDgzEeVkDrY6fVySjZcSYRr884-OjYNTybODTSSCaAH9CJybveX3TnNr0nJV2GKADHse43px6vPfSWe8dtHzr9CjcjhPM5_rwuT58rg-f68ObGHl3GMp0N4I6Bg59ieDDAQgvxdA6YaT2R1eSmuGSHAfRx1I8aQfzv7QITkv_zyshOc85oxn9C81D2k0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>228395974</pqid></control><display><type>article</type><title>Behavioral Outcomes and Evidence of Psychopathology Among Very Low Birth Weight Infants at Age 20 Years</title><source>Free E-Journal (出版社公開部分のみ）</source><creator>Hack, Maureen ; Youngstrom, Eric A ; Cartar, Lydia ; Schluchter, Mark ; Taylor, H. Gerry ; Flannery, Daniel ; Klein, Nancy ; Borawski, Elaine</creator><creatorcontrib>Hack, Maureen ; Youngstrom, Eric A ; Cartar, Lydia ; Schluchter, Mark ; Taylor, H. Gerry ; Flannery, Daniel ; Klein, Nancy ; Borawski, Elaine</creatorcontrib><description>Information on the mental health of very low birth weight (VLBW; <1500 g) children in young adulthood is sparse. We thus sought to examine gender-specific behavioral outcomes and evidence of psychopathology in a cohort of VLBW young adults at 20 years of age.
We compared a cohort of 241 survivors among VLBW infants who were born between 1977 and 1979 (mean birth weight: 1180 g; mean gestational age at birth: 29.7 weeks), 116 of whom were men and 125 of whom were women, with 233 control subjects from the same population in Cleveland who had normal birth weights (108 men and 124 women). Young adult behavior was assessed at 20 years of age with the Achenbach Young Adult Self-Report and the Young Adult Behavior Checklist for parents. In addition, the young adults and parents completed the ADHD Rating Scale for Adults. Gender-specific outcomes were adjusted for sociodemographic status.
VLBW men reported having significantly fewer delinquent behaviors than normal birth weight (NBW) control subjects, but there were no differences on the Internalizing, Externalizing, or Total Problem Behavior scales. Parents of VLBW men reported significantly more thought problems for their sons than did parents of control subjects. VLBW women reported significantly more withdrawn behaviors and fewer delinquent behavior problems than control subjects. Their rates of internalizing behaviors (which includes anxious/depressed and withdrawn behaviors) above the borderline clinical cutoff were 30% versus 16% (odds ratio: 2.2; 95% confidence interval [CI]: 1.2-4.1). Parents of VLBW women reported significantly higher scores for their daughters on the anxious/depressed, withdrawn, and attention problem subscales compared with control parents. The odds ratios for parent-reported rates above the borderline-clinical cutoff among women for the anxious/depressed subscale was 4.4 (95% CI: 1.4-13.5), for thought problems was 3.7 (95% CI: 1.2-11.6), and for attention problems was 2.4 (95% CI: 1.0-5.5). There were no differences in the young adult self-report of attention-deficit/hyperactivity disorder (ADHD). Parents of VLBW men reported higher mean scores on the attention subtype of ADHD but not higher rates of ADHD.
The increase in psychopathology among VLBW survivors in young adulthood indicates a need for anticipatory guidance and early intervention that might help to prevent or ameliorate potential psychopathology.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2003-1017-L</identifier><identifier>PMID: 15466087</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: Am Acad Pediatrics</publisher><subject>Adult ; Analysis of Variance ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anxiety - epidemiology ; Attention Deficit Disorder with Hyperactivity - epidemiology ; Behavior ; Biological and medical sciences ; Birth weight ; Birth weight, Low ; Case-Control Studies ; Diseases of mother, fetus and pregnancy ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Infant, Newborn ; Infant, Premature ; Infant, Very Low Birth Weight - psychology ; Intelligence ; Intensive care medicine ; Internal-External Control ; Juvenile Delinquency - statistics & numerical data ; Logistic Models ; Longitudinal Studies ; Low birth weight ; Male ; Medical sciences ; Mental Disorders - epidemiology ; Mental health ; Pediatrics ; Pregnancy. Fetus. Placenta ; Psychological aspects ; Risk factors ; Shyness ; Socioeconomic Factors ; Young adults</subject><ispartof>Pediatrics (Evanston), 2004-10, Vol.114 (4), p.932-940</ispartof><rights>2004 INIST-CNRS</rights><rights>COPYRIGHT 2004 American Academy of Pediatrics</rights><rights>COPYRIGHT 2004 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Oct 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c608t-a5de892ce378d7307f2acfa3a449181e59c11f6a19d68657f701ddd4381bd39c3</citedby><cites>FETCH-LOGICAL-c608t-a5de892ce378d7307f2acfa3a449181e59c11f6a19d68657f701ddd4381bd39c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16189061$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15466087$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hack, Maureen</creatorcontrib><creatorcontrib>Youngstrom, Eric A</creatorcontrib><creatorcontrib>Cartar, Lydia</creatorcontrib><creatorcontrib>Schluchter, Mark</creatorcontrib><creatorcontrib>Taylor, H. Gerry</creatorcontrib><creatorcontrib>Flannery, Daniel</creatorcontrib><creatorcontrib>Klein, Nancy</creatorcontrib><creatorcontrib>Borawski, Elaine</creatorcontrib><title>Behavioral Outcomes and Evidence of Psychopathology Among Very Low Birth Weight Infants at Age 20 Years</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Information on the mental health of very low birth weight (VLBW; <1500 g) children in young adulthood is sparse. We thus sought to examine gender-specific behavioral outcomes and evidence of psychopathology in a cohort of VLBW young adults at 20 years of age.
We compared a cohort of 241 survivors among VLBW infants who were born between 1977 and 1979 (mean birth weight: 1180 g; mean gestational age at birth: 29.7 weeks), 116 of whom were men and 125 of whom were women, with 233 control subjects from the same population in Cleveland who had normal birth weights (108 men and 124 women). Young adult behavior was assessed at 20 years of age with the Achenbach Young Adult Self-Report and the Young Adult Behavior Checklist for parents. In addition, the young adults and parents completed the ADHD Rating Scale for Adults. Gender-specific outcomes were adjusted for sociodemographic status.
VLBW men reported having significantly fewer delinquent behaviors than normal birth weight (NBW) control subjects, but there were no differences on the Internalizing, Externalizing, or Total Problem Behavior scales. Parents of VLBW men reported significantly more thought problems for their sons than did parents of control subjects. VLBW women reported significantly more withdrawn behaviors and fewer delinquent behavior problems than control subjects. Their rates of internalizing behaviors (which includes anxious/depressed and withdrawn behaviors) above the borderline clinical cutoff were 30% versus 16% (odds ratio: 2.2; 95% confidence interval [CI]: 1.2-4.1). Parents of VLBW women reported significantly higher scores for their daughters on the anxious/depressed, withdrawn, and attention problem subscales compared with control parents. The odds ratios for parent-reported rates above the borderline-clinical cutoff among women for the anxious/depressed subscale was 4.4 (95% CI: 1.4-13.5), for thought problems was 3.7 (95% CI: 1.2-11.6), and for attention problems was 2.4 (95% CI: 1.0-5.5). There were no differences in the young adult self-report of attention-deficit/hyperactivity disorder (ADHD). Parents of VLBW men reported higher mean scores on the attention subtype of ADHD but not higher rates of ADHD.
The increase in psychopathology among VLBW survivors in young adulthood indicates a need for anticipatory guidance and early intervention that might help to prevent or ameliorate potential psychopathology.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anxiety - epidemiology</subject><subject>Attention Deficit Disorder with Hyperactivity - epidemiology</subject><subject>Behavior</subject><subject>Biological and medical sciences</subject><subject>Birth weight</subject><subject>Birth weight, Low</subject><subject>Case-Control Studies</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Very Low Birth Weight - psychology</subject><subject>Intelligence</subject><subject>Intensive care medicine</subject><subject>Internal-External Control</subject><subject>Juvenile Delinquency - statistics & numerical data</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Low birth weight</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental health</subject><subject>Pediatrics</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Psychological aspects</subject><subject>Risk factors</subject><subject>Shyness</subject><subject>Socioeconomic Factors</subject><subject>Young adults</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNpt0s1r2zAYBnAzNtas232nIQYb7OBMsvylYxq6rmDIDvtgJ6FKr20VW0oluV3--8kkkGUEH2Ss3yOLlydJ3hK8JEWefd6C8ssMY5oSTKq0eZYsCGZ1mmdV8TxZxA2S5hgXF8kr7-8xxnlRZS-TixguS1xXi6S7gl48auvEgDZTkHYEj4RR6PpRKzASkG3RN7-Tvd2K0NvBdju0Gq3p0E9wO9TYJ3SlXejRL9BdH9CtaYUJ8YyAVh2gDKPfIJx_nbxoxeDhzWG9TH58uf6-_po2m5vb9apJZbxPSEWhoGaZBFrVqqK4ajMhW0FFnjNSEyiYJKQtBWGqrMuiaitMlFI5rcmdokzSy-Tj_tytsw8T-MBH7SUMgzBgJ8_LkhUEl3mE7_-D93ZyJt6NZ1lNWcGqGaV71IkBuDatDU7IDgzEeVkDrY6fVySjZcSYRr884-OjYNTybODTSSCaAH9CJybveX3TnNr0nJV2GKADHse43px6vPfSWe8dtHzr9CjcjhPM5_rwuT58rg-f68ObGHl3GMp0N4I6Bg59ieDDAQgvxdA6YaT2R1eSmuGSHAfRx1I8aQfzv7QITkv_zyshOc85oxn9C81D2k0</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Hack, Maureen</creator><creator>Youngstrom, Eric A</creator><creator>Cartar, Lydia</creator><creator>Schluchter, Mark</creator><creator>Taylor, H. Gerry</creator><creator>Flannery, Daniel</creator><creator>Klein, Nancy</creator><creator>Borawski, Elaine</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20041001</creationdate><title>Behavioral Outcomes and Evidence of Psychopathology Among Very Low Birth Weight Infants at Age 20 Years</title><author>Hack, Maureen ; Youngstrom, Eric A ; Cartar, Lydia ; Schluchter, Mark ; Taylor, H. 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Gerry</au><au>Flannery, Daniel</au><au>Klein, Nancy</au><au>Borawski, Elaine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Behavioral Outcomes and Evidence of Psychopathology Among Very Low Birth Weight Infants at Age 20 Years</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>114</volume><issue>4</issue><spage>932</spage><epage>940</epage><pages>932-940</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>Information on the mental health of very low birth weight (VLBW; <1500 g) children in young adulthood is sparse. We thus sought to examine gender-specific behavioral outcomes and evidence of psychopathology in a cohort of VLBW young adults at 20 years of age.
We compared a cohort of 241 survivors among VLBW infants who were born between 1977 and 1979 (mean birth weight: 1180 g; mean gestational age at birth: 29.7 weeks), 116 of whom were men and 125 of whom were women, with 233 control subjects from the same population in Cleveland who had normal birth weights (108 men and 124 women). Young adult behavior was assessed at 20 years of age with the Achenbach Young Adult Self-Report and the Young Adult Behavior Checklist for parents. In addition, the young adults and parents completed the ADHD Rating Scale for Adults. Gender-specific outcomes were adjusted for sociodemographic status.
VLBW men reported having significantly fewer delinquent behaviors than normal birth weight (NBW) control subjects, but there were no differences on the Internalizing, Externalizing, or Total Problem Behavior scales. Parents of VLBW men reported significantly more thought problems for their sons than did parents of control subjects. VLBW women reported significantly more withdrawn behaviors and fewer delinquent behavior problems than control subjects. Their rates of internalizing behaviors (which includes anxious/depressed and withdrawn behaviors) above the borderline clinical cutoff were 30% versus 16% (odds ratio: 2.2; 95% confidence interval [CI]: 1.2-4.1). Parents of VLBW women reported significantly higher scores for their daughters on the anxious/depressed, withdrawn, and attention problem subscales compared with control parents. The odds ratios for parent-reported rates above the borderline-clinical cutoff among women for the anxious/depressed subscale was 4.4 (95% CI: 1.4-13.5), for thought problems was 3.7 (95% CI: 1.2-11.6), and for attention problems was 2.4 (95% CI: 1.0-5.5). There were no differences in the young adult self-report of attention-deficit/hyperactivity disorder (ADHD). Parents of VLBW men reported higher mean scores on the attention subtype of ADHD but not higher rates of ADHD.
The increase in psychopathology among VLBW survivors in young adulthood indicates a need for anticipatory guidance and early intervention that might help to prevent or ameliorate potential psychopathology.</abstract><cop>Elk Grove Village, IL</cop><pub>Am Acad Pediatrics</pub><pmid>15466087</pmid><doi>10.1542/peds.2003-1017-L</doi><tpages>9</tpages></addata></record> |
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| ispartof | Pediatrics (Evanston), 2004-10, Vol.114 (4), p.932-940 |
| issn | 0031-4005 1098-4275 |
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| source | Free E-Journal (出版社公開部分のみ） |
| subjects | Adult Analysis of Variance Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anxiety - epidemiology Attention Deficit Disorder with Hyperactivity - epidemiology Behavior Biological and medical sciences Birth weight Birth weight, Low Case-Control Studies Diseases of mother, fetus and pregnancy Emergency and intensive care: neonates and children. Prematurity. Sudden death Female General aspects Gynecology. Andrology. Obstetrics Humans Infant, Newborn Infant, Premature Infant, Very Low Birth Weight - psychology Intelligence Intensive care medicine Internal-External Control Juvenile Delinquency - statistics & numerical data Logistic Models Longitudinal Studies Low birth weight Male Medical sciences Mental Disorders - epidemiology Mental health Pediatrics Pregnancy. Fetus. Placenta Psychological aspects Risk factors Shyness Socioeconomic Factors Young adults |
| title | Behavioral Outcomes and Evidence of Psychopathology Among Very Low Birth Weight Infants at Age 20 Years |
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