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Very preterm birth and parents’ quality of life 27 years later
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Wolke, Dieter, Baumann, Nicole, Busch, Barbara and Bartmann, Peter (2017) Very preterm birth and parents’ quality of life 27 years later. Pediatrics, 140 (3). e20171263. doi:10.1542/peds.2017-1263 ISSN 0031-4005.
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Official URL: http://dx.doi.org/10.1542/peds.2017-1263
Abstract
BACKGROUND AND OBJECTIVES: Parents of preterm children experience increased distress early in their children’s lives. Whether the quality of life of parents of preterm children is comparable to that of parents of term children by the time their offspring reach adulthood is unknown. What precursors in their offspring’s childhood predict parental quality of life?
METHODS: A prospective whole-population study in Germany followed very preterm (VP) (<32 weeks gestation) or very low birth weight (VLBW) (<1500 g) (N = 250) and term-born individuals (N = 230) and their parents (VP or VLBW: N = 219; term: N = 227) from birth to adulthood. Parental quality of life was evaluated with the World Health Organization Quality of Life assessment and the Satisfaction with Life questionnaire when their offspring were adults (mean age 27.3 years, 95% confidence interval [CI]: 27.2 to 27.3). Childhood standard assessments of VP or VLBW and term offspring included neurosensory disability, academic achievement, mental health, and parent-child and peer relationships.
RESULTS: Overall quality of life of parents of VP or VLBW adults was found to be comparable to parents of term individuals (P > .05). Parental quality of life was not predicted by their children being born VP or VLBW, experiencing disability, academic achievement, or the parent-child relationship in childhood but by their offspring’s mental health (B = 0.15, 95% CI: 0.08 to 0.22) and peer relationships (B = 0.09, 95% CI: 0.02 to 0.16) in childhood.
CONCLUSIONS: As a testament to resilience, parents of VP or VLBW adults had quality of life comparable to parents of term adults. Support and interventions to improve mental health and peer relationships in all children are likely to improve parents’ quality of life.
Item Type: | Journal Article | |||||||||||||||
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Subjects: | H Social Sciences > HQ The family. Marriage. Woman | |||||||||||||||
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): | Parent and adult child, Quality of life, Prematurely born children, Premature infants | |||||||||||||||
Journal or Publication Title: | Pediatrics | |||||||||||||||
Publisher: | American Academy of Pediatrics | |||||||||||||||
ISSN: | 0031-4005 | |||||||||||||||
Official Date: | 1 September 2017 | |||||||||||||||
Dates: |
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Volume: | 140 | |||||||||||||||
Number: | 3 | |||||||||||||||
Article Number: | e20171263 | |||||||||||||||
DOI: | 10.1542/peds.2017-1263 | |||||||||||||||
Status: | Peer Reviewed | |||||||||||||||
Publication Status: | Published | |||||||||||||||
Access rights to Published version: | Restricted or Subscription Access | |||||||||||||||
Date of first compliant deposit: | 23 August 2017 | |||||||||||||||
Date of first compliant Open Access: | 31 August 2018 | |||||||||||||||
RIOXX Funder/Project Grant: |
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