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Longitudinal predictors of psychiatric disorders in very low birth weight adults
journal contributionposted on 2012-02-01, 00:00 authored by Elizabeth WestruppElizabeth Westrupp, E Northam, L W Doyle, C Callanan, P J Anderson
The purpose of this study was to determine risk and protective factors for adult psychiatric disorders in very low birth weight (VLBW, birth weight <1,501 g) survivors. 79 of 154 (51%) VLBW subjects recruited at birth were assessed in early adulthood (24-27 years). Participants were screened for a psychiatric disorder; those elevated were invited to attend a structured clinical interview to determine a clinical diagnosis. Longitudinal variables measured from birth and at ages 2, 5, 14 and 18 years were included in analyses. Perinatal, developmental and social environmental risk factors failed to predict psychiatric disorder in adulthood in this cohort of VLBW survivors. Instead, low self-esteem at age 18 (odds ratio [OR] = 1.05, 95% confidence interval [CI] = 1, 1.11, p = 0.05) and the adult social environment (high rates of negative life event stress at the time of assessment: OR = 1.39, CI = 1.10, 1.76, p = 0.02), contributed significantly to adult psychiatric outcomes.
JournalChild psychiatry and human development
Pagination113 - 123
LocationNew York, N.Y.
Publication classificationC1.1 Refereed article in a scholarly journal
Copyright notice2011, Springer Science+Business Media, LLC
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Very low birth weightPsychiatricPredictorsLongitudinalRisk and protective factorsResilienceDevelopmentAdolescentChildChild, PreschoolFemaleGestational AgeInfantNewbornLongitudinal StudiesMaleMass ScreeningMental DisordersPersonality AssessmentPsychometricsRisk FactorsSelf ConceptSocial EnvironmentSocioeconomic FactorsVictoriaSocial SciencesScience & TechnologyLife Sciences & BiomedicinePsychology, DevelopmentalPediatricsPsychiatryPsychologyYOUNG-ADULTSPRETERM INFANTSCHILDREN BORNFOLLOW-UPBEHAVIOR PROBLEMSMENTAL-HEALTHSOCIAL COMPETENCESAGEOUTCOMESPSYCHOPATHOLOGY