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Published on: August 25, 2014
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.
Purpose:
We investigated behavioral problems, attention problems, and cognitive function in children and adolescents born small for gestational age (SGA).
Methods:
Forty-six SGA children born at term and 46 appropriate for gestational age (AGA) children born at term were compared. Psychiatric symptoms were examined with reference to the Korean-Child Behavior Checklist, Korean-Youth Self Report, and Attention Deficit Hyperactivity Disorder Rating Scale (ADHD-RS). Cognitive function was estimated using the Wechsler Intelligence Scale. Sociodemographic data were recorded from interviews.
Results:
SGA children had high scores on delinquent behavior, aggressive behavior, and the externalizing scale, and they also showed a propensity for anxiety and depression. The SGA group had a higher mean ADHD-RS score than the AGA group (10.52±8.10 vs.9.93±7.23), but the difference was not significant. The SGA group had a significantly lower verbal intelligence quotient (IQ) than the AGA group, but the mean scores of both groups were within normal limits.
Conclusion:
This study indicates marked behavioral problems, such as delinquency, aggressiveness, and anxiety and depression, as well as low verbal IQ in the SGA group than in the AGA group. Even in cases in which these symptoms are not severe, early detection and proper treatment can help these children adapt to society.
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