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Eur Child Adolesc Psychiatry. 2017 Dec;26(12):1523-1531. doi: 10.1007/s00787-017-1007-x. Epub 2017 Jun 5.

Mental health assessed by the Strengths and Difficulties Questionnaire for children born extremely preterm without severe disabilities at 11 years of age: a Norwegian, national population-based study.

Author information

1
Department of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway. Silje.Elgen@uib.no.
2
Department of Pediatrics, Haukeland University Hospital, Bergen, Norway. Silje.Elgen@uib.no.
3
Section of Pediatrics, Department of Clinical Medicine, University of Bergen, 5021, Bergen, Norway. Silje.Elgen@uib.no.
4
Uni Research Health, Regional Centre for Child and Youth Mental Health and Child Welfare, Bergen, Norway.
5
Department of Clinical Science, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
6
Department of Pediatrics, Haukeland University Hospital, Bergen, Norway.
7
Department of Child and Adolescent Psychiatry, Haukeland University Hospital, Bergen, Norway.

Abstract

The aims were to investigate mental health problems with the Strength and Difficulties Questionnaire (SDQ) in children born extremely preterm/extremely low birth weight (EP/ELBW) without severe disabilities compared to controls, and to identify peri-, or neonatal factors possibly predicting later mental health problems. A national Norwegian cohort of 11-year-old EP/ELBW children, excluding those with intellectual disabilities, non-ambulatory cerebral palsy, blindness and/or deafness, was assessed. Parents and teachers completed the SDQ. Mean scores and scores ≥90th percentile for the control group, combined (parent and/or teacher reporting the child ≥90th percentile), and pervasive ratings (both parent and teacher reporting the child ≥90th percentile) were presented. The controls consisted of an unselected population of all 11-year-old children born in 1995 who attended public or private schools in Bergen. Of the eligible children, 216 (64%) EP/ELBW and 1882 (61%) control children participated. The EP/ELBW children had significantly higher scores and/or increased risk of parent, teacher, combined, and pervasive rated hyperactivity/inattention, emotional-, and peer problems (OR 2.1-6.3). Only parents reported the EP/ELBW children to be at an increased risk of conduct problems (OR 1.6, 95% CI 1.1-2.6). Only low maternal education at birth was significantly associated with mental health problems at 11 years of age (OR 2.5, 95% CI 1.2-5.4). EP/ELBW children without severe disabilities had increased risk of symptoms of hyperactivity/inattention, emotional-, and peer problems. None of the peri- or neonatal factors were significantly associated with later mental health problems, except for low maternal education.

KEYWORDS:

Extremely low birth weight; Extremely preterm; Mental health; Predicting factors; School age; The Strengths and Difficulties Questionnaire

PMID:
28585081
DOI:
10.1007/s00787-017-1007-x
[Indexed for MEDLINE]

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