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Titolo:
Behavioural problems in children who weigh 1000 g or less at birth in fourcountries
Autore:
Hille, ETM; den Ouden, AL; Saigal, S; Wolke, D; Lambert, M; Whitaker, A; Pinto-Martin, JA; Hoult, L; Meyer, R; Feldman, JF; Verloove-Vanhorick, SP; Paneth, N;
Indirizzi:
TNO Prevent & Hlth, Child Hlth Div, NL-2301 CE Leiden, Netherlands TNO Prevent & Hlth Leiden Netherlands NL-2301 CE CE Leiden, Netherlands McMaster Univ, Hamilton, ON, Canada McMaster Univ Hamilton ON CanadaMcMaster Univ, Hamilton, ON, Canada Univ Hertfordshire, Hatfield AL10 9AB, Herts, England Univ Hertfordshire Hatfield Herts England AL10 9AB 10 9AB, Herts, England Michigan State Univ, E Lansing, MI 48824 USA Michigan State Univ E Lansing MI USA 48824 Univ, E Lansing, MI 48824 USA Columbia Univ, New York, NY 10027 USA Columbia Univ New York NY USA 10027Columbia Univ, New York, NY 10027 USA New York State Psychiat Inst, New York, NY 10032 USA New York State Psychiat Inst New York NY USA 10032 New York, NY 10032 USA Univ Penn, Sch Nursing & Med, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 ing & Med, Philadelphia, PA 19104 USA Univ Munich, Childrens Hosp, D-8000 Munich, Germany Univ Munich Munich Germany D-8000 Childrens Hosp, D-8000 Munich, Germany
Titolo Testata:
LANCET
fascicolo: 9269, volume: 357, anno: 2001,
pagine: 1641 - 1643
SICI:
0140-6736(20010526)357:9269<1641:BPICWW>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
VERY-LOW; PRETERM INFANTS; SCHOOL; BORN; AGE; ADJUSTMENT; NEWBORNS; CULTURES; PARENTS; COHORT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Hille, ETM TNO Prevent & Hlth, Child Hlth Div, POB 2215, NL-2301 CE Leiden, Netherlands TNO Prevent & Hlth POB 2215 Leiden Netherlands NL-2301 CE ands
Citazione:
E.T.M. Hille et al., "Behavioural problems in children who weigh 1000 g or less at birth in fourcountries", LANCET, 357(9269), 2001, pp. 1641-1643

Abstract

Background The increased survival chances of extremely low-birthweight (ELBW) infants (weighing less than or equal to 1000 g at birth) has led to concern about their behavioural outcome in childhood. In reports from several countries with different assessments at various ages, investigators have noted a higher frequency of behavioural problems in such infants, but cross-cultural comparisons are lacking. Our aim was to compare behavioural problems in ELBW children of similar ages from four countries. Methods We prospectively studied 408 ELBW children aged 8-10 years, whose parents completed the child behaviour checklist. The children came from theNetherlands. Germany, Canada, and USA. The checklist provides a total problem score consisting of eight narrow-band scales. Of these, two (aggressiveand delinquent behaviour) give a broad-band externalising score, three (anxious, somatic, and withdrawn behaviour) give a broad-band internalising score, and three (social, thought, and attention problems) indicate difficulties fitting neither broad-band dimension. For each cohort we analysed scores in ELBW children and those in normal-birthweight controls (two cohorts) or national normative controls (two cohorts). Across countries, we assessed deviations of the ELBW children from normative or control groups. Findings ELBW children had higher total problem scores than normative or control children, but this increase was only significant in European countries. Narrow-band scores were raised only for the social, thought, and attention difficulty scales, which were 0.5-1.2 SD higher in ELBW children than in others. Except for the increase in internalising scores recorded for one cohort, ELBW children did not differ from normative or control children on internalising or externalising scales. Interpretation Despite cultural differences, types of behavioural problemsseen in ELBW children were very similar in the four countries. This finding suggests that biological mechanisms contribute to behavioural problems ofELBW children.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 01:38:28