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Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort

Objective:  Preterm birth and restricted foetal growth are related to symptoms of psychiatric disorder. Our aim was therefore to investigate possible relations between being born preterm and/or small for gestational age (SGA) and later psychiatric hospitalization. Method:  A population‐based registr...

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Published in:Acta Psychiatrica Scandinavica 2009-01, Vol.119 (1), p.54-61
Main Authors: Monfils Gustafsson, W., Josefsson, A., Ekholm Selling, K., Sydsjö, G.
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Josefsson, A.
Ekholm Selling, K.
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description Objective:  Preterm birth and restricted foetal growth are related to symptoms of psychiatric disorder. Our aim was therefore to investigate possible relations between being born preterm and/or small for gestational age (SGA) and later psychiatric hospitalization. Method:  A population‐based registry study of psychiatric hospitalization of in total 155 994 boys and 148 281 girls born in Sweden in 1973–1975. Results:  The risk of hospitalization for all mental disorders was increased for preterm SGA boys (OR 2.19, 95% CI 1.49–3.21); at‐term SGA boys (OR 1.55, 95% CI 1.34–1.79); at‐term SGA girls (OR 1.31, 95% CI 1.15–1.50). At‐term SGA boys and girls suffered increased risk of anxiety and adjustment disorders (OR 1.70, 95% CI 1.18–2.45 and OR 1.49, 95% CI 1.14–1.94). Preterm SGA boys were at risk of personality disorders (OR 3.30, 95% CI 1.16–9.41) and psychotic disorders (OR 4.36, 95% CI 1.85–10.30). Conclusion:  The results show a relationship between being born SGA and later psychiatric hospitalization, where preterm birth and male gender seem to increase the risk.
doi_str_mv 10.1111/j.1600-0447.2008.01267.x
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Our aim was therefore to investigate possible relations between being born preterm and/or small for gestational age (SGA) and later psychiatric hospitalization. Method:  A population‐based registry study of psychiatric hospitalization of in total 155 994 boys and 148 281 girls born in Sweden in 1973–1975. Results:  The risk of hospitalization for all mental disorders was increased for preterm SGA boys (OR 2.19, 95% CI 1.49–3.21); at‐term SGA boys (OR 1.55, 95% CI 1.34–1.79); at‐term SGA girls (OR 1.31, 95% CI 1.15–1.50). At‐term SGA boys and girls suffered increased risk of anxiety and adjustment disorders (OR 1.70, 95% CI 1.18–2.45 and OR 1.49, 95% CI 1.14–1.94). Preterm SGA boys were at risk of personality disorders (OR 3.30, 95% CI 1.16–9.41) and psychotic disorders (OR 4.36, 95% CI 1.85–10.30). 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Our aim was therefore to investigate possible relations between being born preterm and/or small for gestational age (SGA) and later psychiatric hospitalization. Method:  A population‐based registry study of psychiatric hospitalization of in total 155 994 boys and 148 281 girls born in Sweden in 1973–1975. Results:  The risk of hospitalization for all mental disorders was increased for preterm SGA boys (OR 2.19, 95% CI 1.49–3.21); at‐term SGA boys (OR 1.55, 95% CI 1.34–1.79); at‐term SGA girls (OR 1.31, 95% CI 1.15–1.50). At‐term SGA boys and girls suffered increased risk of anxiety and adjustment disorders (OR 1.70, 95% CI 1.18–2.45 and OR 1.49, 95% CI 1.14–1.94). Preterm SGA boys were at risk of personality disorders (OR 3.30, 95% CI 1.16–9.41) and psychotic disorders (OR 4.36, 95% CI 1.85–10.30). 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Psychiatry</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Registries - statistics &amp; numerical data</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Statistics as Topic</topic><topic>Sweden</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Monfils Gustafsson, W.</creatorcontrib><creatorcontrib>Josefsson, A.</creatorcontrib><creatorcontrib>Ekholm Selling, K.</creatorcontrib><creatorcontrib>Sydsjö, G.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>SWEPUB Linköpings universitet full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Linköpings universitet</collection><collection>SwePub Articles full text</collection><jtitle>Acta Psychiatrica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Monfils Gustafsson, W.</au><au>Josefsson, A.</au><au>Ekholm Selling, K.</au><au>Sydsjö, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort</atitle><jtitle>Acta Psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2009-01</date><risdate>2009</risdate><volume>119</volume><issue>1</issue><spage>54</spage><epage>61</epage><pages>54-61</pages><issn>0001-690X</issn><issn>1600-0447</issn><eissn>1600-0447</eissn><eissn>0065-1591</eissn><coden>APYSA9</coden><abstract>Objective:  Preterm birth and restricted foetal growth are related to symptoms of psychiatric disorder. 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subjects Adjustment Disorders - epidemiology
Adolescent
Adult and adolescent clinical studies
Anxiety Disorders - epidemiology
Biological and medical sciences
birth characteristics
Birth weight
Cohort Studies
Diseases of mother, fetus and pregnancy
Female
Fetal Growth Retardation - epidemiology
Gender differences
Gynecology. Andrology. Obstetrics
hospitalization
Hospitals, Psychiatric
Humans
Infant, Newborn
Infant, Premature, Diseases - epidemiology
Infant, Small for Gestational Age
Male
Medical sciences
MEDICIN
MEDICINE
Mental disorders
Mental Disorders - epidemiology
mental illness
Miscellaneous
Mood Disorders - epidemiology
Patient Admission - statistics & numerical data
Personality Disorders - epidemiology
Pregnancy
Pregnancy. Fetus. Placenta
Premature birth
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotic Disorders - epidemiology
Registries - statistics & numerical data
Risk Factors
Sex Factors
Statistics as Topic
Sweden
Young Adult
title Preterm birth or foetal growth impairment and psychiatric hospitalization in adolescence and early adulthood in a Swedish population-based birth cohort
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