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.
Abstract

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