Prevalence of psychiatric diagnoses in preterm and full-term children, adolescents and young adults: a meta-analysis
Prevalence of psychiatric diagnoses in preterm and full-term children, adolescents and young adults: a meta-analysis
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DOI：
10.1017/s003329171100081x
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发表时间：
2011-12-01
影响因子：
6.9
通讯作者：
Wood, S. J.
中科院分区：
文献类型：
--
作者：
Burnett, A. C.;Anderson, P. J.;Wood, S. J.
背景。早产 (PT) 和低出生体重 (LBW) 是高发事件，与长期不良后果相关，随着出生成熟度的降低，脆弱性也会增加。尽管使用问卷调查的研究发现了一些不一致的结果，特别是在焦虑和抑郁症状方面，但 PT/LBW 幸存者的精神症状似乎有所加剧。本文综合了使用临床精神病学诊断标准对 10-25 岁 PT/LBW 个体与足月出生同龄人进行比较的研究结果。感兴趣的主要结果是接受任何精神科诊断的个体的比率以及焦虑或抑郁症的诊断数量。结果。对报告“任何诊断”患病率的研究进行文献检索，得出了 5 项符合纳入标准的研究，总共有 565 名 PT/LBW 和 533 名对照个体。此外，还发现五项研究报告了焦虑/抑郁的发生率（692 名 PT/LBW 和 605 名对照个体）。与对照组相比，PT/LBW 个体出现这些结果的风险增加[任何诊断：比值比 (OR) 3.66，95% 置信区间 (CI) 2.57-5.21；焦虑或抑郁障碍：OR 2.86，95% CI 1.73-4.73]。结论。这里回顾的研究表明，除了监测和管理医疗和认知后遗症之外，PT/LBW 个体的心理健康应该是持续护理的关键部分。
Background. Preterm (PT) birth and low birth weight (LBW) are high-prevalence events that are associated with adverse outcomes in the longer term, with vulnerability increasing as maturity at birth decreases. Psychiatric symptomatology appears heightened in PT/LBW survivors, though there are some discordant findings from studies using questionnaire measures, particularly with respect to anxiety and depressive symptoms.Method. This article synthesises findings from research using clinical psychiatric diagnostic criteria in PT/LBW individuals aged 10-25 years compared with term-born peers. Key outcomes of interest were the rates of individuals receiving any psychiatric diagnosis and the number of diagnoses of anxiety or depressive disorders.Results. A literature search for studies reporting prevalence of 'any diagnosis' yielded five studies that met inclusion criteria, with a total of 565 PT/LBW and 533 control individuals. Also, five studies were found that reported rates of anxiety/depression (692 PT/LBW and 605 control individuals). The risk of these outcomes was increased for PT/LBW individuals compared with controls [any diagnosis : odds ratio (OR) 3.66, 95% confidence interval (CI) 2.57-5.21; anxiety or depressive disorder : OR 2.86, 95% CI 1.73-4.73].Conclusions. The studies reviewed here indicate that, in addition to monitoring and management of medical and cognitive sequelae, the psychological well-being of PT/LBW individuals should be a key part of ongoing care.