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Behavioral outcomes at corrected age 2.5 years in children born extremely preterm

Johanna Månsson1, Karin Stjernqvist, Martin Bäckström

  • 1Department of Psychology, Lund University, Lund, Sweden.

Journal of Developmental and Behavioral Pediatrics : JDBP
|September 3, 2014
PubMed

Insights

Extremely preterm children show more behavioral issues, but development levels significantly influence these outcomes. Early behavioral assessments are crucial for understanding prematurity

Area of Science:

  • Neonatal development
  • Child psychology
  • Developmental pediatrics

Background:

  • Extreme prematurity (born before 27 weeks gestation) poses risks for child behavioral development.
  • Parental reports are key for assessing behavioral problems in young children.

Purpose of the Study:

  • To investigate behavioral problems in extremely preterm children at 2.5 years old.
  • To determine if developmental factors mediate the link between extreme prematurity and behavioral issues.

Main Methods:

  • Compared 344 extremely preterm children with 338 controls using Bayley-III and Child Behavior Checklist (CBCL/1½-5).
  • Analyzed cognitive, language, and motor development scores to assess mediation effects on behavioral outcomes.
  • Controlled for sociodemographic factors in regression models.

Main Results:

  • Preterm children had higher average scores for internalizing, externalizing, and total behavioral problems, though within the average range.
  • A significantly higher proportion of preterm children exhibited behavioral problems in the clinical range.
  • Cognitive, language, and motor development levels mediated the differences in behavioral problems between preterm and control groups.

Conclusions:

  • Behavioral assessments are recommended during the preschool years for children born extremely preterm.
  • Understanding multifactorial pathways is essential for predicting outcomes in extremely preterm infants.
Abstract

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