Psychiatric symptoms and disorders in adolescents with low birth weight

M S Indredavik, T Vik, S Heyerdahl, S Kulseng, Peter Fayers, A M Brubakk

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201 Citations (Scopus)

Abstract

Objective: To evaluate the prevalence of psychiatric symptoms and disorders associated with low birth weight.

Design/study groups: A population based follow up study of 56 very low birthweight (VLBW: birth weight less than or equal to1500 g), 60 term small for gestational age (SGA: birth weight <10th centile), and 83 term control (birth weight &GE;10th centile) children at 14 years of age.

Outcome measures: Schedule for affective disorders and schizophrenia for school aged children, attention deficit/hyperactivity disorder (ADHD) rating scale IV, autism spectrum screening questionnaire, and children's global assessment scale.

Results: VLBW adolescents had a higher prevalence of psychiatric symptoms (46%) than controls (13%) (odds ratio (OR) 5.7, 95% confidence interval (CI) 2.5 to 13.0) and more psychiatric disorders (25%) than controls (7%) (OR 4.3, 95% CI 1.5 to 12.0), especially anxiety disorders. Although 25% of the VLBW adolescents had attention problems, ADHD was diagnosed in only 7%.. Four VLBW adolescents had symptoms of Asperger's disorder, and the VLBW group had a higher sum score than controls on the, autism spectrum screening questionnaire. Although more SGA adolescents had psychiatric symptoms than controls (23% v 13%), the difference was not statistically significant. Results remained essentially the same when adolescents with low estimated intelligence quotient were excluded, and persisted after possible psychosocial confounders had been controlled for.

Conclusion: VLBW, but not SGA adolescents, have a high risk of developing psychiatric symptoms and disorders by the age of 14, especially attention deficit, anxiety symptoms, and relational problems.

Original languageEnglish
Pages (from-to)F445-F450
Number of pages6
JournalArchives of Disease in Childhood
Volume89
Issue number5
DOIs
Publication statusPublished - 2004

Keywords

  • FOR-GESTATIONAL-AGE
  • BEHAVIORAL-ADJUSTMENT
  • INFANTILE-AUTISM
  • CHILDREN BORN
  • CEREBRAL MRI
  • RISK-FACTORS
  • FOLLOW-UP
  • OUTCOMES
  • SCHOOL
  • GROWTH

Cite this

Indredavik, M. S., Vik, T., Heyerdahl, S., Kulseng, S., Fayers, P., & Brubakk, A. M. (2004). Psychiatric symptoms and disorders in adolescents with low birth weight. Archives of Disease in Childhood, 89(5), F445-F450. https://doi.org/10.1136/adc.2003.038943