Changes in emotional problems, hyperactivity and conduct problems in moderate to late preterm children and adolescents born between 1958 and 2002 in the United Kingdom.
Changes in emotional problems, hyperactivity and conduct problems in moderate to late preterm children and adolescents born between 1958 and 2002 in the United Kingdom.
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1958年至2002年间出生的英国中晚期早产儿童和青少年情绪问题、多动症和行为问题的变化
DOI：
10.1111/jcv2.12018
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Ayten Bilgin
中科院分区：
文献类型：
--
作者：
Ayten Bilgin
研究背景早产是儿童和青少年期出现情绪和行为问题的危险因素。鉴于几十年来新生儿护理的实质性改善，预计近年来中晚期早产（MLPT）和足月（FT）儿童和青少年之间的情绪问题，多动和行为问题的差异已经下降。（NCDS; 1958）、英国队列研究（BCS 70; 1970）、雅芳父母和儿童纵向研究（ALSPAC，1991-1992）和千年队列研究（MCS; 2000-2002）。情绪问题，多动症和行为问题进行了评估与母亲报告在幼儿期（5-7岁），儿童后期（10-11岁）和青春期（14-16岁）。此外，情绪问题自我报告在青春期的BCS 70，ALSPAC和MCS.ResultsIn最近的队列，MLPT组有较高的母亲报告的情绪问题比那些出生的FT在儿童期后期和青春期，而没有差异，在青春期自我报告的情绪问题。关于母亲报告的多动症状，MLPT组在最近的两个儿童晚期队列和最近的青春期队列中的评分高于FT组。关于母亲报告的行为问题，MLPT儿童在最老和最近的儿童后期队列中的得分显著高于FT儿童。另一方面，在青春期，与1991- 1992年出生的队列中的FT儿童相比，MLPT儿童的行为问题得分显著降低。结论从1958年到2000-2002年，MLPT儿童的母亲报告的情绪问题和多动症状在儿童晚期和青春期有所增加，然而，自1970年至2000年至2002年，MLPT和FT组在青春期的自我报告情绪问题相似。调查结果不太一致的行为问题。目前的研究结果强调了提高教师对MLPT出生与儿童后期和青春期行为和情绪问题之间关联的认识的重要性，以防止与MLPT出生后遗症相关的长期负面结果。
BackgroundPreterm birth is a risk factor for the development of emotional and behavioural problems in childhood and adolescence. Given the substantial improvements in neonatal care across decades, it has been expected that the difference in emotional problems, hyperactivity, and conduct problems between moderate to late preterm (MLPT) and full term (FT) children and adolescents have declined in recent years.MethodsData from four UK population‐based studies were used: The National Child Development Study (NCDS; 1958), the British Cohort Study (BCS70; 1970), the Avon Longitudinal Study of Parents and Children (ALSPAC, 1991–1992) and the Millennium Cohort Study (MCS; 2000–2002). Emotional problems, hyperactivity and conduct problems were assessed with mother‐reports in early childhood (5–7 years), late childhood (10–11 years) and adolescence (14–16 years). Furthermore, emotional problems were self‐reported in adolescence in BCS70, ALSPAC and MCS.ResultsIn the most recent cohort, the MLPT group had higher mother‐reported emotional problems than those born FT in late childhood and adolescence, whereas there were no differences in self‐reported emotional problems in adolescence. Regarding mother‐reported hyperactivity symptoms, the MLPT group had higher scores than the FT group in the two most recent cohorts in late childhood and in the most recent cohort in adolescence. Regarding mother‐reported conduct problems, MLPT children had significantly higher scores than the FT children in the oldest and in the most recent cohort in late childhood. On the other hand, in adolescence, MLPT children had significantly lower scores in conduct problems in comparison to FT children in the cohort born in 1991–1992.ConclusionsMother‐reported emotional problems and hyperactivity symptoms of those born MLPT have increased from the birth years 1958 to 2000–2002 during late childhood and adolescence, whereas self‐reported emotional problems were similar in MLPT and FT groups during adolescence from 1970 to 2000–2002. Findings are less consistent regarding conduct problems. The current findings highlight the importance of raising the awareness of teachers about the association between MLPT birth and behavioural and emotional problems in late childhood and adolescence to prevent the long‐term negative outcomes associated with the sequalae of MLPT birth.
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