Behavioral and intelligence outcome in 8- to 16-year-old born small for gestational age

Kyung Hee Yi1, Yoon Young Yi2, Il Tae Hwang2

  • 1Department of Pediatrics, Wonkwang University Sanbon Medical Center, Gunpo, Korea.

Insights

Children born small for gestational age (SGA) exhibit more behavioral issues, including aggression and anxiety, and lower verbal IQ compared to peers. Early intervention is crucial for their societal adaptation.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Child Psychiatry

Background:

  • Children born small for gestational age (SGA) may face developmental challenges.
  • Understanding the long-term behavioral and cognitive outcomes for SGA children is essential.

Purpose of the Study:

  • To investigate behavioral problems, attention deficits, and cognitive function in children and adolescents born small for gestational age (SGA).

Main Methods:

  • Compared 46 term-born SGA children with 46 term-born appropriate for gestational age (AGA) children.
  • Assessed psychiatric symptoms using the Korean-Child Behavior Checklist, Korean-Youth Self Report, and ADHD Rating Scale (ADHD-RS).
  • Evaluated cognitive function with the Wechsler Intelligence Scale.

Main Results:

  • SGA children demonstrated higher scores for delinquent behavior, aggressive behavior, and externalizing problems.
  • The SGA group showed a tendency towards anxiety and depression.
  • SGA children had a significantly lower verbal intelligence quotient (IQ) than the AGA group, though both were within normal limits.

Conclusions:

  • Children born small for gestational age (SGA) exhibit notable behavioral problems and lower verbal IQ compared to appropriate for gestational age (AGA) peers.
  • Early detection and intervention are recommended to support the social adaptation of SGA children.
  • Findings highlight the need for targeted support for SGA individuals.
Abstract

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