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Title: | Rates and stability of mental health disorders in children born very preterm at 7 and 13 years. | Authors: | Spencer-Smith M.;Yates R.;Treyvaud K.;Doyle L.W.;Ure A.;Anderson P.J.;Cheong J.L.Y.;Lee K.J.;Inder T.E. | Monash Health Department(s): | Paediatric - Developmental Paediatrics | Institution: | (Yates, Spencer-Smith, Anderson) Turner Institute for Brain and Mental Health, School of Psychological Sciences, Clayton Campus, 18 Innovation Walk, Melbourne, VIC 3800, Australia (Ure) Department of Paediatrics and Education Research, Monash University, Clayton, VIC, Australia (Yates, Treyvaud, Doyle, Ure, Cheong, Lee, Spencer-Smith, Anderson) Murdoch Children's Research Institute, Parkville, VIC, Australia (Treyvaud) Department of Psychology and Counselling, La Trobe University, Melbourne, VIC, Australia (Doyle, Cheong) Neonatal Services, Royal Women's Hospital, Parkville, VIC, Australia (Doyle, Cheong) Departments of Obstetrics and Gynaecology, Australia (Doyle, Lee) Paediatrics, University of Melbourne, Parkville, VIC, Australia (Ure) Department of Mental Health, Royal Children's Hospital, Parkville, VIC, Australia (Inder) Brigham and Women's Hospital, Boston, MA, United States (Ure) Developmental Paediatrics, Monash Children's Hospital, Clayton, VIC, Australia | Issue Date: | 19-Aug-2020 | Copyright year: | 2020 | Publisher: | American Academy of Pediatrics (141 Northwest Point Blvd, P.O. Box 927, Elk Grove Village IL 60007-1098, United States) | Place of publication: | United States | Publication information: | Pediatrics. 145 (5) (no pagination), 2020. Article Number: e20192699. Date of Publication: May 2020. | Journal: | Pediatrics | Abstract: | OBJECTIVES: Children born very preterm (VPT) are at an increased risk of developing mental health (MH) disorders. Our aim for this study was to assess rates of MH disorders in children born VPT and term at 13 years of age and stability of MH disorders between ages 7 and 13 years by using a diagnostic measure. METHOD(S): Participants were from the Victorian Infant Brain Study longitudinal cohort and included 125 children born VPT (,30 weeks' gestational age and/or,1250 g) and 49 children born term ($37 weeks' gestational age) and their families. Participants were followed-up at both 7 and 13 years, and the Development and Well-Being Assessment was administered to assess for MH disorders. RESULT(S): Compared with term peers, 13-year-olds born VPT were more likely to meet criteria for any MH disorder (odds ratio 5.9; 95% confidence interval 1.71-20.03). Anxiety was the most common disorder in both groups (VPT = 14%; term = 4%), whereas attention-deficit/ hyperactivity disorder carried the greatest differential elevated risk (odds ratio 5.6; 95% confidence interval 0.71-43.80). Overall rates of MH disorders remained stable between 7 and 13 years, although at an individual level, many participants shifted in or out of diagnostic categories over time. CONCLUSION(S): Children born VPT show higher rates of MH disorders than their term peers, with changing trajectories over time. Findings highlight the importance of early identification and ongoing assessment to support those with MH disorders in this population.Copyright © 2020 by the American Academy of Pediatrics | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1542/PEDS.2019-2699 | PubMed URL: | 32276969 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32276969] | ISSN: | 0031-4005 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/29149 | Type: | Article | Subjects: | gestational age anxiety disorder attention deficit disorder depression mental disease premature labor wellbeing |
Type of Clinical Study or Trial: | Observational study (cohort, case-control, cross sectional or survey) |
Appears in Collections: | Articles |
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