Emotional, behavioral, social, and academic outcomes in adolescents born with very low birth weight
Emotional, behavioral, social, and academic outcomes in adolescents born with very low birth weight
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DOI：
10.1542/peds.2005-3024
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发表时间：
2006-08-01
期刊：
影响因子：
8
通讯作者：
Ronning, John A.
中科院分区：
文献类型：
--
作者：
Dahl, Lauritz Bredrup;Kaaresen, Per Ivar;Ronning, John A.
背景极低出生体重的幸存者出现情绪和行为问题以及社会和学术能力低下的风险增加。关于极低出生体重青少年这类问题的信息仍然很少。我们这项工作的目的是研究性别特异性的情绪和行为问题，社会和学术能力在挪威北部的一个队列的极低出生体重的青少年。1978年至1989年出生的13至18岁极低出生体重青少年（n = 162）的家庭通过邮件进行了处理，并要求完成儿童行为检查表和青少年自我报告。将数据与2个正常青少年人群（儿童行为检查表，n = 540;青少年自我报告，n = 2522）进行比较。对极低出生体重青少年及其父母在儿童行为检查表和青少年自我报告（交叉信息综合征结构）中相同项目的评分进行了比较。为了探索预测效果，人口统计学和早期医学特征进入分层多元回归分析。有156个符合条件的家庭，99个（63.5%）回答。所有人都完成了儿童行为检查表，82人（52.6%）完成了青少年自我报告。极低出生体重的男孩报告较少的外化和内化行为和思想和注意力问题和较高的活动得分，而极低出生体重的女孩报告较少的外化行为和较少的社会，思想和注意力问题和较高的活动得分与正常青少年相比。然而，极低出生体重的父母，报告更多的社会和注意力问题和社会和学校的能力，男孩和更多的内化行为和社会和注意力问题和学校的能力，女孩与规范的父母相比。在所有量表上，除了女孩的外化行为和社会问题外，他们在边缘/临床范围内的男女比例都很高。与男性相比，女性极低出生体重青少年在成对比较时报告的问题比父母多，特别是父母没有认识到外部化问题。从父母的角度来看，相当比例的极低出生体重青少年比正常青少年经历更多的情绪和行为问题，能力较差。与此相反，极低出生体重的青少年国家较少的问题和类似的或更高的能力比正常的青少年。与父母相比，极低出生体重的青春期女孩比极低出生体重的青春期男孩报告更多的情绪和行为问题。极低出生体重少女的外在问题往往没有被父母认识到。为了更好地理解这些看似矛盾的发现，并制定适当的干预方案，有必要进行前瞻性纵向研究。
BACKGROUND. Very low birth weight survivors are at increased risk of developing emotional and behavioral problems and low social and academic competencies. Information on such problems in very low birth weight adolescents is still sparse.OBJECTIVES. Our purpose for this work was to study gender-specific emotional and behavioral problems and social and academic competencies in a cohort of very low birth weight adolescents in north Norway.METHODS. Families with very low birth weight adolescents aged 13 to 18 years, born between 1978 and 1989 (n = 162) were addressed by mail and asked to complete the Child Behavior Check List and the Youth Self-Report. Data were compared with 2 normative adolescent populations (Child Behavior Check List, n = 540; Youth Self-Report, n = 2522). Scores given by very low birth weight adolescents and their parents on identical items in Child Behavior Check List and Youth Self-Report (cross-informant syndrome constructs) were compared in pairs. To explore predictive effects, demographic and early medical characteristics were entered into a hierarchical multiple regression analysis.RESULTS. There were 156 eligible families, and 99 (63.5%) responded. All completed the Child Behavior Check List, and 82 (52.6%) completed the Youth Self-Report. Very low birth weight boys reported less externalizing and internalizing behaviors and thought and attention problems and higher activity score, whereas very low birth weight girls reported less externalizing behavior and less social, thought, and attention problems and higher activity score compared with normative adolescents. Very low birth weight parents, however, reported more social and attention problems and less social and school competence in boys and more internalizing behavior and social and attention problems and less school competence in girls compared with normative parents. They scored high proportions of both genders within the borderline/clinical range on all of the scales, except for externalizing behavior and social problems in girls. Female very low birth weight adolescents, in contrast to males, reported more problems than parents when compared in pairs, and externalizing problems in particular were not recognized by parents.CONCLUSIONS. From parents' point of view, significant proportions of very low birth weight adolescents experience more emotional and behavioral problems and less competence than normative adolescents. In contrast, very low birth weight adolescents state less problems and similar or higher competence than normative adolescents. Very low birth weight adolescent girls report more emotional and behavioral problems compared with their parents than very low birth weight adolescent boys do. Externalizing problems in very low birth weight adolescent girls are often not recognized by parents. To better understand these seemingly paradoxical findings and to develop adequate intervention programs, there is a need for prospective longitudinal studies.