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Mental Health Outcomes in Children Born Late Preterm and Early Term
Shunsuke Sato1, Yayoi Murano2, Yuki Someya3
1Department of Pediatrics and Adolescent Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Insights
Late preterm birth is linked to increased emotional symptoms and peer issues in children. Early term birth did not show significant mental health differences compared to full term birth.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Public Health
Background:
- Assessing mental health in children born late preterm and early term is crucial.
- The Strengths and Difficulties Questionnaire (SDQ) is a key tool for evaluating child mental health.
Purpose of the Study:
- To compare mental health outcomes in children born late preterm and early term versus those born at term.
- To identify specific areas of difficulty or strength associated with different birth timings.
Main Methods:
- Analysis of data from the Formation of Exercise Habits Project from Early Childhood.
- Comparison of SDQ scores across groups (late preterm, early term, term) aged 3-5 years.
- Statistical adjustments for sex, economic status, and fetal growth restriction.
Main Results:
- Late preterm birth was significantly associated with higher emotional symptoms and peer problems.
- Children born late preterm also showed higher total difficulty scores.
- Lower prosocial behavior scores were observed in the late preterm group.
Conclusions:
- Late preterm birth is a significant risk factor for adverse mental health outcomes in children.
- Healthcare providers must be vigilant in identifying and managing mental health challenges in late preterm infants.
- Further research may explore interventions to mitigate these risks.
Background:
In this study, we aimed to assess the mental health outcomes of children born late preterm and early term compared with children born at term, using the Strengths and Difficulties Questionnaire (SDQ).
Methods:
Data from the Formation of Exercise Habits Project from Early Childhood were analyzed. This project assessed children's physical fitness, athletic ability, and lifestyle. Collected data included gestational age at birth, birth weight, sex, age at questionnaire administration, and SDQ scores. Participants aged 3-5 years were divided into late preterm, early term, and term groups. SDQ scores were compared across groups, accounting for sex, economic status, and fetal growth restriction.
Results:
Of the 2200 participants, 151 were born late preterm and 748 were born early term. Late preterm birth was significantly associated with higher emotional symptoms, peer problems, and total difficulty scores, as well as lower prosocial behavior scores.
Conclusions:
Late preterm birth is associated with mental health outcomes in children. Healthcare providers should recognize and address mental health challenges in this population.
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