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Attention problems in very preterm children from childhood to adulthood: the Bavarian Longitudinal Study
Linda D Breeman1, Julia Jaekel1,2, Nicole Baumann1
1Department of Psychology, University of Warwick, Coventry, UK.
Insights
Children born very preterm (VP) or with very low birth weight (VLBW) face persistent attention problems into adulthood, unlike term-born peers. Early intervention programs may help mitigate these risks.
Area of Science:
- Developmental Psychology
- Neurodevelopmental Disorders
- Pediatric Health
Background:
- Very preterm (VP) birth and very low birth weight (VLBW) are associated with attention deficits.
- The long-term stability of these attention problems from childhood into adulthood is not well understood.
Purpose of the Study:
- To investigate the stability of attention problems in individuals born very preterm/very low birth weight (VP/VLBW) from childhood to adulthood.
- To compare the developmental trajectory of attention in VP/VLBW individuals with term-born controls.
Main Methods:
- Prospective cohort study (Bavarian Longitudinal Study) following 260 VP/VLBW and 229 term-born individuals.
- Attention data collected at ages 6, 8, and 26 years via parent reports, behavioral observations, and ADHD diagnoses.
Main Results:
- VP/VLBW individuals consistently showed more attention problems, shorter attention spans, and higher ADHD rates than term-born peers.
- Attention improved and problems decreased with age in both groups, but attention issues were more stable in VP/VLBW individuals.
- ADHD diagnoses were moderately stable in VP/VLBW individuals but not term-born controls; differences diminished when severe disabilities were excluded.
Conclusions:
- Children born VP/VLBW experience lasting attention problems into adulthood, despite developmental improvements.
- Term-born children with attention problems often outgrow them by adulthood.
- Increased awareness and school interventions are recommended for VP/VLBW children to address attention difficulties.
Background:
Very preterm (VP; gestational age <32 weeks) and very low birth weight (VLBW; <1500 grams) is related to attention problems in childhood and adulthood. The stability of these problems into adulthood is not known.
Methods:
The Bavarian Longitudinal Study is a prospective cohort study that followed 260 VP/VLBW and 229 term-born individuals from birth to adulthood. Data on attention were collected at 6, 8, and 26 years of age, using parent reports, expert behavior observations, and clinical ADHD diagnoses.
Results:
At each assessment, VP/VLBW individuals had significantly more attention problems, shorter attention span, and were more frequently diagnosed with ADHD than term-born comparisons. In both VP/VLBW and term-born individuals, overall, attention span increased and attention problems decreased from childhood to adulthood. Attention problems and attention span were more stable over time for VP/VLBW than term-born individuals. Similarly, ADHD diagnoses showed moderate stability from childhood to adulthood in VP/VLBW, but not in term-born individuals. However, when those with severe disabilities were excluded, differences between VP/VLBW and term-born individuals reduced.
Conclusions:
Despite improvement in attention regulation from childhood to adulthood, children born very preterm remained at increased risk for attention problems in adulthood. In contrast, term-born children with clinical attention problems outgrew these by adulthood. As inattentive behavior of VP/VLBW children may be overlooked by teachers, it may be necessary to raise awareness for school intervention programs that reduce attention problems in VP/VLBW children.
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