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Growing up after extremely preterm birth: lifespan mental health outcomes
Samantha Johnson1, Neil Marlow2
1Department of Health Sciences, University of Leicester, Leicester LE1 6TP, UK.
Insights
Individuals born extremely preterm face lifelong mental health challenges, including attention, social, and emotional difficulties. These issues stem from neurodevelopmental origins, requiring careful study and interpretation.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Growing interest in long-term mental health of extremely preterm infants.
- Preterm birth is associated with various developmental challenges.
- Understanding lifelong mental health sequelae is crucial.
Purpose of the Study:
- To review literature on mental health outcomes across the lifespan for individuals born extremely preterm.
- To identify continuity and specific risks in mental health.
- To explore the neurodevelopmental origins of these challenges.
Main Methods:
- Literature review of studies across preschool, school age, adolescence, and adulthood.
- Analysis of behavioural and neuroimaging data.
- Synthesis of contemporary evidence and methodological considerations.
Main Results:
- Continuity of mental health outcomes observed from early childhood to adulthood.
- Increased risk for inattention, socio-communicative problems, and emotional difficulties.
- Evidence supports a neurodevelopmental origin for mental health disorders.
Conclusions:
- Extremely preterm birth confers a lasting risk for specific mental health issues.
- Neurodevelopmental factors play a significant role in these outcomes.
- Methodological rigor is essential for accurate research interpretation.
Abstract:
There is growing interest in the long-term mental health sequelae of extremely preterm birth. In this paper we review literature relating to mental health outcomes across the lifespan. Studies conducted in the preschool years, school age and adolescence, and adulthood show continuity in outcomes and point to an increased risk for inattention, socio-communicative problems and emotional difficulties in individuals born extremely preterm. Both behavioural and neuroimaging studies also provide evidence of a neurodevelopmental origin for mental health disorders in this population. Here we summarise contemporary evidence and highlight key methodological considerations for carrying out and interpreting studies in this field.
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