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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Higher rates of behavioural and emotional problems at preschool age in children born moderately preterm
Marieke R Potijk1, Andrea F de Winter, Arend F Bos
1Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Antonius Deusinglaan 1, PO Box 196, 9700 AD Groningen, The Netherlands. m.r.potijk01@umcg.nl
Insights
Children born moderately preterm (32-35 weeks gestation) exhibit more behavioral and emotional problems than full-term peers. These issues impact social and developmental skills, necessitating targeted mental health prevention strategies for these children.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Mental Health Research
Background:
- Moderate preterm birth (32-35 weeks gestation) is associated with potential developmental challenges.
- Understanding behavioral and emotional outcomes in moderately preterm children is crucial for early intervention.
Purpose of the Study:
- To compare behavioral and emotional problems in preschool children born moderately preterm versus those born at term.
- To analyze differences in specific problem types and by gender.
Main Methods:
- Prospective cohort study including 995 moderately preterm and 577 term-born children.
- Child Behavior Checklist (1.5-5 years) used to assess behavioral and emotional problems.
- Analysis of syndrome scales, internalizing, externalizing, and total problems.
Main Results:
- Moderately preterm children showed higher scores across all measured behavioral and emotional problem domains.
- Increased risk for somatic complaints, internalizing, externalizing, and total problems observed in moderately preterm children.
- Prevalence of elevated externalizing problems was higher in boys, and internalizing problems in girls.
Conclusions:
- Moderate preterm birth significantly impacts all areas of behavioral and emotional development, with a notable effect on girls.
- Targeted mental health prevention programs are recommended for moderately preterm children to support their developmental and social competencies.
Objective:
To compare preschool children born moderately preterm (MP; 32-35 weeks' gestation) and children born at term (38-41 weeks' gestation) regarding the occurrence of behavioural and emotional problems, overall, for separate types of problems and by gender.
Design:
Prospective cohort study consisting of a community-based sample of MP and a random sample of term-born children in 13 Preventive Child Healthcare centres throughout the Netherlands.
Patients:
995 MP and 577 term-born children just under age 4 were included.
Main Outcome Measures:
Behavioural and emotional problems were measured using the Child Behavior Checklist 1.5-5 years. Seven syndrome scales, internalising, externalising and total problems were determined. Higher scores indicate worse outcomes.
Results:
MP children had higher scores on all syndrome scales, internalising, externalising and total problems than term-born controls. The mean difference on total problems was 4.04 (95% CI 2.08 to 6.00). Prevalence rates of elevated externalising problem scores were highest in boys (10.5%) and internalising problems were highest in girls (9.9%). MP children were at greater risk for somatic complaints (OR 1.92, 95% CI 1.09 to 3.38), internalising (OR 2.40, 95% CI 1.48 to 3.87), externalising (OR 1.69, 95% CI 1.07 to 2.67) and total problems (OR 1.84, 95% CI 1.12 to 3.00).
Conclusions:
Moderate preterm birth affects all domains of behavioural and emotional problems, particularly for girls. MP children should be targeted for the prevention of mental health problems as they have a great impact on developmental and social competencies at school and in the community.
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