Population based, controlled study of behavioural problems and psychiatric disorders in low birthweight children at

I Elgen1, K Sommerfelt, T Markestad

  • 1Department of Paediatrics, University of Bergen, Norway. ielg@haukeland.no

Insights

Children born with low birth weight (LBW) face a significantly higher risk of long-term behavioral problems and psychiatric disorders into adolescence. This increased risk is not linked to specific birth complications but persists regardless of the degree of low birth weight.

Area of Science:

  • Developmental Psychology
  • Pediatric Psychiatry
  • Public Health

Background:

  • Low birth weight (LBW) is a known risk factor for adverse child development.
  • Understanding the long-term psychiatric and behavioral sequelae of LBW is crucial for early intervention and support.

Purpose of the Study:

  • To evaluate the long-term risk of behavioral problems and psychiatric disorders in children born with low birth weight.
  • To compare these outcomes in low birth weight (LBW) children with normal birth weight (NBW) children at 11 years of age.

Main Methods:

  • A population-based, controlled follow-up study included 130 LBW children (<2000 g) and 131 NBW children (>3000 g).
  • Mothers and teachers completed validated behavioral questionnaires.
  • A child psychiatrist conducted semistructured interviews for psychiatric evaluation.

Main Results:

  • LBW children exhibited significantly higher rates of behavioral problems (40% vs. 7%) and psychiatric disorders (27% vs. 9%) compared to NBW children.
  • LBW children were more prone to inattention, social difficulties, and low self-esteem.
  • No specific prenatal, neonatal, or perinatal variables predicted these outcomes; risk was consistent across different degrees of LBW.

Conclusions:

  • An elevated risk for behavioral problems and psychiatric disorders persists in adolescents born with low birth weight.
  • These findings underscore the need for ongoing monitoring and support for individuals with a history of LBW.
Abstract

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