Attention problems in very preterm children from childhood to adulthood: the Bavarian Longitudinal Study.

Autor: Breeman LD; Department of Psychology, University of Warwick, Coventry, UK., Jaekel J; Department of Psychology, University of Warwick, Coventry, UK.; Department of Developmental Psychology, Ruhr-University Bochum, Bochum, Germany., Baumann N; Department of Psychology, University of Warwick, Coventry, UK., Bartmann P; Department of Neonatology, University Hospital Bonn, Bonn, Germany., Wolke D; Department of Psychology, University of Warwick, Coventry, UK.; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Jazyk: angličtina
Zdroj: Journal of child psychology and psychiatry, and allied disciplines [J Child Psychol Psychiatry] 2016 Feb; Vol. 57 (2), pp. 132-40. Date of Electronic Publication: 2015 Aug 19.
DOI: 10.1111/jcpp.12456
Abstrakt: Background: Very preterm (VP; gestational age <32 weeks) and very low birth weight (VLBW; <1500 grams) is related to attention problems in childhood and adulthood. The stability of these problems into adulthood is not known.
Methods: The Bavarian Longitudinal Study is a prospective cohort study that followed 260 VP/VLBW and 229 term-born individuals from birth to adulthood. Data on attention were collected at 6, 8, and 26 years of age, using parent reports, expert behavior observations, and clinical ADHD diagnoses.
Results: At each assessment, VP/VLBW individuals had significantly more attention problems, shorter attention span, and were more frequently diagnosed with ADHD than term-born comparisons. In both VP/VLBW and term-born individuals, overall, attention span increased and attention problems decreased from childhood to adulthood. Attention problems and attention span were more stable over time for VP/VLBW than term-born individuals. Similarly, ADHD diagnoses showed moderate stability from childhood to adulthood in VP/VLBW, but not in term-born individuals. However, when those with severe disabilities were excluded, differences between VP/VLBW and term-born individuals reduced.
Conclusions: Despite improvement in attention regulation from childhood to adulthood, children born very preterm remained at increased risk for attention problems in adulthood. In contrast, term-born children with clinical attention problems outgrew these by adulthood. As inattentive behavior of VP/VLBW children may be overlooked by teachers, it may be necessary to raise awareness for school intervention programs that reduce attention problems in VP/VLBW children.
(© 2015 Association for Child and Adolescent Mental Health.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje