Psychiatric Outcomes, Functioning, and Participation in Extremely Low Gestational Age Newborns at Age 15 Years
| Autor: | Jean A. Frazier, David Cochran, Sohye Kim, Isha Jalnapurkar, Robert M. Joseph, Stephen R. Hooper, Hudson P. Santos, Hongyu Ru, Lauren Venuti, Rachana Singh, Lisa K. Washburn, Semsa Gogcu, Michael E. Msall, Karl C.K. Kuban, Julie V. Rollins, Shannon G. Hanson, Hernan Jara, Steven L. Pastyrnak, Kyle R. Roell, Rebecca C. Fry, T. Michael O’Shea |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Depressive Disorder Major Academic Success Adolescent Infant Newborn Infant Gestational Age Anxiety Disorders Article Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Cognition Mental Health Infant Extremely Premature Developmental and Educational Psychology Humans Female Longitudinal Studies Child |
| Zdroj: | J Am Acad Child Adolesc Psychiatry |
| ISSN: | 1527-5418 |
| Popis: | OBJECTIVE: To evaluate the prevalence, co-occurrence, sex differences and functional correlates of DSM-5 psychiatric disorders in 15-year-old adolescents born extremely preterm. METHOD: The Extremely Low Gestational Age Newborns (ELGAN) Study is a longitudinal study of children born < 28 weeks gestation. At age 15, six hundred and seventy adolescents completed the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID), the Youth Self Report, a disability scale of participation in social roles and cognitive testing. Parents completed a family psychiatric history questionnaire. RESULTS: The most prevalent psychiatric disorders were anxiety, attention deficit hyperactivity disorder (ADHD) and major depression. More girls met criteria for anxiety than boys. Though 66% of participants did not meet criteria for a psychiatric disorder, 15% met criteria for one, 9% for two and 8% for ≥ 3 psychiatric disorders. Those with ≥ 2 psychiatric disorders were more likely to have repeated a grade, to have an individualized educational program (IEP) and to have a lower Non-Verbal IQ than those with no psychiatric disorders. Those with any psychiatric disorder were more likely to use psychotropic medications, to have greater cognitive and functional impairment, and to have mothers who were single, on public health insurance and had less than a high school education. Finally, a positive family psychiatric history was identified more frequently among adolescents with ≥ 3 psychiatric disorders. CONCLUSION: Among adolescents born extremely preterm anxiety, major depression and ADHD were the most prevalent psychiatric disorders at age 15. Adolescents with > 1 psychiatric disorder were at increased risk for multiple functional and participatory challenges. |
| Databáze: | OpenAIRE |
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