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Self-reported mental health problems among adults born preterm : a meta-analysis
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Pyhälä, Riikka, Wolford, Elina, Kautiainen, Hannu, Andersson, Sture, Bartmann, Peter, Baumann, Nicole, Brubakk, Ann-Mari, Evensen, Kari Anne I., Hovi, Petteri, Kajantie, Eero, Lahti, Marius, Van Lieshout, Ryan J., Saigal, Saroj, Schmidt, Louis A., Indredavik, Marit S., Wolke, Dieter and Räikkönen, Katri (2017) Self-reported mental health problems among adults born preterm : a meta-analysis. Pediatrics, 139 (4). e20162690. doi:10.1542/peds.2016-2690 ISSN 0031-4005.
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Official URL: http://dx.doi.org/10.1542/peds.2016-2690
Abstract
Context: Preterm birth increases the risk for mental disorders in adulthood, yet findings on self-reported or subclinical mental health problems are mixed.
Objective: To study self-reported mental health problems among adults born preterm at very low birth weight (VLBW; ≤1500 g) compared with term controls in an individual participant data meta-analysis.
Data Sources: Adults Born Preterm International Collaboration.
Study Selection: Studies that compared self-reported mental health problems using the Achenbach Young Adult Self Report or Adult Self Report between adults born preterm at VLBW (n = 747) and at term (n = 1512).
Data Extraction: We obtained individual participant data from 6 study cohorts and compared preterm and control groups by mixed random coefficient linear and Tobit regression.
Results: Adults born preterm reported more internalizing (pooled β = .06; 95% confidence interval .01 to .11) and avoidant personality problems (.11; .05 to .17), and less externalizing (–.10; –.15 to –.06), rule breaking (–.10; –.15 to –.05), intrusive behavior (–.14; –.19 to –.09), and antisocial personality problems (–.09; –.14 to –.04) than controls. Group differences did not systematically vary by sex, intrauterine growth pattern, neurosensory impairments, or study cohort.
Limitations: Exclusively self-reported data are not confirmed by alternative data sources.
Conclusions: Self-reports of adults born preterm at VLBW reveal a heightened risk for internalizing problems and socially avoidant personality traits together with a lowered risk for externalizing problem types. Our findings support the view that preterm birth constitutes an early vulnerability factor with long-term consequences on the individual into adulthood.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Science > Psychology Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Mental health , Older people--Mental health, Adulthood, Premature infants , Premature infants--Growth--Psychological aspects | ||||||||
Journal or Publication Title: | Pediatrics | ||||||||
Publisher: | American Academy of Pediatrics | ||||||||
ISSN: | 0031-4005 | ||||||||
Official Date: | April 2017 | ||||||||
Dates: |
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Volume: | 139 | ||||||||
Number: | 4 | ||||||||
Article Number: | e20162690 | ||||||||
DOI: | 10.1542/peds.2016-2690 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 15 March 2017 | ||||||||
Date of first compliant Open Access: | 31 March 2018 | ||||||||
Funder: | Suomen Akatemia [Academy of Finland], Signe and Ane Gyllenberg Foundation |
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