Narrative review of neurodevelopmental and psychiatric complications associated with prematurity

Halimat Ibrahim1, Alyssa Wilkins1, Sumera Aziz Ali1

  • 1Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.

BMC Pediatrics
|November 14, 2025
PubMed

Insights

Prematurity (birth before 37 weeks) leads to significant long-term neurodevelopmental and neuropsychiatric issues in survivors. This review covers risks, screening, and future research for preterm infant outcomes.

Area of Science:

  • Neonatal Medicine
  • Developmental Neuroscience
  • Public Health

Background:

  • Prematurity (birth before 37 weeks) is a major cause of infant mortality and morbidity.
  • Preterm infants face risks of bronchopulmonary dysplasia, intraventricular hemorrhage, and necrotizing enterocolitis.
  • Long-term neurodevelopmental and neuropsychiatric challenges persist throughout life for preterm survivors.

Purpose of the Study:

  • To review recent findings on the long-term neurodevelopmental and neuropsychiatric impacts of prematurity.
  • To highlight the incidence, risk factors, and assessment tools for these outcomes.
  • To guide clinical care, early identification, and future research priorities.

Main Methods:

  • Narrative review of recent scientific literature.
  • Synthesis of current knowledge on prematurity outcomes.
  • Identification of screening and assessment tools.

Main Results:

  • Preterm survivors exhibit increased risks of cognitive, motor, and behavioral impairments.
  • Higher incidence of psychiatric disorders like ADHD, anxiety, and depression is observed.
  • Current screening and assessment tools are utilized in clinical and research settings.

Conclusions:

  • Prematurity has profound and lasting effects on neurodevelopment and mental health.
  • Early identification and intervention are crucial for improving outcomes in preterm infants.
  • Further research is needed to refine care and support strategies for preterm survivors.

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