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European Child & Adolescent Psychiatry
Published in: European Child & Adolescent Psychiatry 12/2017

01-12-2017 | Original Contribution

Mental health assessed by the Strengths and Difficulties Questionnaire for children born extremely preterm without severe disabilities at 11 years of age: a Norwegian, national population-based study

Authors: Silje Katrine Elgen Fevang, Mari Hysing, Kristian Sommerfelt, Irene Elgen

Published in: European Child & Adolescent Psychiatry | Issue 12/2017

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Abstract

The aims were to investigate mental health problems with the Strength and Difficulties Questionnaire (SDQ) in children born extremely preterm/extremely low birth weight (EP/ELBW) without severe disabilities compared to controls, and to identify peri-, or neonatal factors possibly predicting later mental health problems. A national Norwegian cohort of 11-year-old EP/ELBW children, excluding those with intellectual disabilities, non-ambulatory cerebral palsy, blindness and/or deafness, was assessed. Parents and teachers completed the SDQ. Mean scores and scores ≥90th percentile for the control group, combined (parent and/or teacher reporting the child ≥90th percentile), and pervasive ratings (both parent and teacher reporting the child ≥90th percentile) were presented. The controls consisted of an unselected population of all 11-year-old children born in 1995 who attended public or private schools in Bergen. Of the eligible children, 216 (64%) EP/ELBW and 1882 (61%) control children participated. The EP/ELBW children had significantly higher scores and/or increased risk of parent, teacher, combined, and pervasive rated hyperactivity/inattention, emotional-, and peer problems (OR 2.1–6.3). Only parents reported the EP/ELBW children to be at an increased risk of conduct problems (OR 1.6, 95% CI 1.1–2.6). Only low maternal education at birth was significantly associated with mental health problems at 11 years of age (OR 2.5, 95% CI 1.2–5.4). EP/ELBW children without severe disabilities had increased risk of symptoms of hyperactivity/inattention, emotional-, and peer problems. None of the peri- or neonatal factors were significantly associated with later mental health problems, except for low maternal education.
Literature
1.
Goodman R (1999) The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry 40(5):791–799CrossRefPubMed
2.
Johnson S et al (2014) Screening for childhood mental health disorders using the Strengths and Difficulties Questionnaire: the validity of multi-informant reports. Dev Med Child Neurol 56(5):453–459CrossRefPubMed
3.
4.
Hutchinson EA et al (2013) School-age outcomes of extremely preterm or extremely low birth weight children. Pediatrics 131(4):e1053–e1061CrossRefPubMed
5.
Gardner F et al (2004) Behavioral and emotional adjustment of teenagers in mainstream school who were born before 29 weeks’ gestation. Pediatrics 114(3):676–682CrossRefPubMed
6.
Delobel-Ayoub M et al (2009) Behavioral problems and cognitive performance at 5 years of age after very preterm birth: the EPIPAGE Study. Pediatrics 123(6):1485–1492CrossRefPubMed
7.
8.
Samara M et al (2008) Pervasive behavior problems at 6 years of age in a total-population sample of children born at ≤25 weeks of gestation. Pediatrics 122(3):562–573CrossRefPubMed
9.
Hack M, Costello DW (2008) Trends in the rates of cerebral palsy associated with neonatal intensive care of preterm children. Clin Obstet Gynecol 51(4):763–774CrossRefPubMed
10.
Stone LL et al (2010) Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4- to 12-year-olds: a review. Clin Child Fam Psychol Rev 13(3):254–274CrossRefPubMedPubMedCentral
11.
Kerker BD et al (2004) Mental health disorders among individuals with mental retardation: challenges to accurate prevalence estimates. Public Health Rep 119(4):409–417CrossRefPubMedPubMedCentral
12.
Sovner R, Hurley AD (1983) Do the mentally retarded suffer from affective illness? Arch Gen Psychiatry 40(1):61–67CrossRefPubMed
13.
Einfeld SL, Tonge BJ (1995) The developmental behavior checklist: the development and validation of an instrument to assess behavioral and emotional disturbance in children and adolescents with mental retardation. J Autism Dev Disord 25(2):81–104CrossRefPubMed
14.
Larroque B et al (2008) Neurodevelopmental disabilities and special care of 5-year-old children born before 33 weeks of gestation (the EPIPAGE study): a longitudinal cohort study. Lancet 371(9615):813–820CrossRefPubMed
15.
Marlow N et al (2005) Neurologic and developmental disability at six years of age after extremely preterm birth. N Engl J Med 352(1):9–19CrossRefPubMed
16.
Johnson S et al (2009) Neurodevelopmental disability through 11 years of age in children born before 26 weeks of gestation. Pediatrics 124(2):e249–e257CrossRefPubMed
17.
Hack M et al (2005) Chronic conditions, functional limitations, and special health care needs of school-aged children born with extremely low-birth-weight in the 1990s. JAMA 294(3):318–325CrossRefPubMed
18.
Johnson S (2007) Cognitive and behavioural outcomes following very preterm birth. Semin Fetal Neonatal Med 12(5):363–373CrossRefPubMed
19.
Anderson PJ et al (2011) Attention problems in a representative sample of extremely preterm/extremely low birth weight children. Dev Neuropsychol 36(1):57–73CrossRefPubMed
20.
Wilson-Ching M et al (2013) Attention difficulties in a contemporary geographic cohort of adolescents born extremely preterm/extremely low birth weight. J Int Neuropsychol Soc 19(10):1097–1108CrossRefPubMed
21.
Limperopoulos C et al (2007) Does cerebellar injury in premature infants contribute to the high prevalence of long-term cognitive, learning, and behavioral disability in survivors? Pediatrics 120(3):584–593CrossRefPubMed
22.
23.
Johnson S et al (2010) Psychiatric disorders in extremely preterm children: longitudinal finding at age 11 years in the EPICure study. J Am Acad Child Adolesc Psychiatry 49(5):453–63.e1PubMed
24.
Miller M et al (2001) Behaviour problems in extremely low birthweight children at 5 and 8 years of age. Child Care Health Dev 27(6):569–581CrossRefPubMed
25.
Johnson S et al (2010) Autism spectrum disorders in extremely preterm children. J Pediatr 156(4):525–31 e2CrossRefPubMed
26.
Tanis JC et al (2012) Functional outcome of very preterm-born and small-for-gestational-age children at school age. Pediatr Res 72(6):641–648CrossRefPubMed
27.
Johnson S et al (2016) Antecedents of attention-deficit/hyperactivity disorder symptoms in children born extremely preterm. J Dev Behav Pediatr 37(4):285–297CrossRefPubMedPubMedCentral
28.
Linsell L et al (2016) Prognostic factors for behavioral problems and psychiatric disorders in children born very preterm or very low birth weight: a systematic review. J Dev Behav Pediatr 37(1):88–102CrossRefPubMedPubMedCentral
29.
Markestad T et al (2005) Early death, morbidity, and need of treatment among extremely premature infants. Pediatrics 115(5):1289–1298CrossRefPubMed
30.
Westby Wold SH et al (2009) Neonatal mortality and morbidity in extremely preterm small for gestational age infants: a population based study. Arch Dis Child Fetal Neonatal Ed 94(5):F363–F367CrossRefPubMed
31.
Leversen KT et al (2011) Prediction of neurodevelopmental and sensory outcome at 5 years in Norwegian children born extremely preterm. Pediatrics 127(3):e630–e638CrossRefPubMed
32.
Elgen SK et al (2014) Minor neurodevelopmental impairments are associated with increased occurrence of ADHD symptoms in children born extremely preterm. Eur Child Adolesc Psychiatry 24(4):463–470CrossRefPubMed
33.
Wechsler D (1999) Wechsler preschool and primary scale of intelligence-revised [Swedish edition]. Psykologförlaget AB, Stockholm
34.
Palisano R et al (1997) Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol 39(4):214–223CrossRefPubMed
35.
Hysing M et al (2009) Sleep in children with chronic illness, and the relation to emotional and behavioral problems—a population-based study. J Pediatr Psychol 34(6):665–670CrossRefPubMed
36.
Heiervang E et al (2007) Psychiatric disorders in Norwegian 8- to 10-year-olds: an epidemiological survey of prevalence, risk factors, and service use. J Am Acad Child Adolesc Psychiatry 46(4):438–447CrossRefPubMed
37.
Stormark KM et al (2008) Predicting nonresponse bias from teacher ratings of mental health problems in primary school children. J Abnorm Child Psychol 36(3):411–419CrossRefPubMed
38.
Goodman R (2001) Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry 40(11):1337–1345CrossRefPubMed
39.
Goodman R, Renfrew D, Mullick M (2000) Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 9(2):129–134CrossRefPubMed
40.
Goodman A, Goodman R (2011) Population mean scores predict child mental disorder rates: validating SDQ prevalence estimators in Britain. J Child Psychol Psychiatry 52(1):100–108CrossRefPubMed
41.
Elgen SK et al (2012) Mental health at 5 years among children born extremely preterm: a national population-based study. Eur Child Adolesc Psychiatry 21(10):583–589CrossRefPubMed
42.
Hack M, Fanaroff AA (1999) Outcomes of children of extremely low birthweight and gestational age in the 1990s. Early Hum Dev 53(3):193–218CrossRefPubMed
43.
44.
Heiervang E, Goodman A, Goodman R (2008) The Nordic advantage in child mental health: separating health differences from reporting style in a cross-cultural comparison of psychopathology. J Child Psychol Psychiatry 49(6):678–685CrossRefPubMed
45.
Farooqi A et al (2007) Mental health and social competencies of 10- to 12-year-old children born at 23 to 25 weeks of gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics 120(1):118–133CrossRefPubMed
46.
Anderson P, Doyle LW, Victorian G, Infant Collaborative Study (2003) Neurobehavioral outcomes of school-age children born extremely low birth weight or very preterm in the 1990s. JAMA 289(24):3264–3272CrossRefPubMed
47.
Farooqi A, Hagglof B, Serenius F (2013) Behaviours related to executive functions and learning skills at 11 years of age after extremely preterm birth: a Swedish national prospective follow-up study. Acta Paediatr 102(6):625–634CrossRefPubMed
48.
Burnett A et al (2014) Extremely preterm birth and adolescent mental health in a geographical cohort born in the 1990s. Psychol Med 44(7):1533–1544CrossRefPubMed
49.
Kaptein S et al (2008) Mental health problems in children with intellectual disability: use of the Strengths and Difficulties Questionnaire. J Intellect Disabil Res 52(Pt 2):125–131PubMed
50.
Bjorgaas HM et al (2013) Mental health in children with cerebral palsy: does screening capture the complexity? Sci World J 2013:468402CrossRef
51.
Yude C, Goodman R, McConachie H (1998) Peer problems of children with hemiplegia in mainstream primary schools. J Child Psychol Psychiatry 39(4):533–541CrossRefPubMed
52.
Parkes J et al (2009) Psychological problems in children with hemiplegia: a European multicentre survey. Arch Dis Child 94(6):429–433CrossRefPubMed
53.
Elgen I, Sommerfelt K, Markestad T (2002) Population based, controlled study of behavioural problems and psychiatric disorders in low birthweight children at 11 years of age. Arch Dis Child Fetal Neonatal Ed 87(2):F128–F132CrossRefPubMedPubMedCentral
54.
Hwang YS et al (2013) Higher prevalence of autism in Taiwanese children born prematurely: a nationwide population-based study. Res Dev Disabil 34(9):2462–2468CrossRefPubMed
55.
Constable RT et al (2008) Prematurely born children demonstrate white matter microstructural differences at 12 years of age, relative to term control subjects: an investigation of group and gender effects. Pediatrics 121(2):306–316CrossRefPubMed
56.
57.
Abernethy LJ et al (2003) Magnetic resonance imaging and T2 relaxometry of cerebral white matter and hippocampus in children born preterm. Pediatr Res 54(6):868–874CrossRefPubMed
58.
Mikkola K et al (2005) Neurodevelopmental outcome at 5 years of age of a national cohort of extremely low birth weight infants who were born in 1996–1997. Pediatrics 116(6):1391–1400CrossRefPubMed
Metadata
Title
Mental health assessed by the Strengths and Difficulties Questionnaire for children born extremely preterm without severe disabilities at 11 years of age: a Norwegian, national population-based study
Authors
Silje Katrine Elgen Fevang
Mari Hysing
Kristian Sommerfelt
Irene Elgen
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry / Issue 12/2017
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-017-1007-x

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