Abstract
OBJECTIVE--To determine the prevalence of behaviour disorders in low birthweight infants. DESIGN--Children of birth weight < or = 2000 g born to mothers resident in Merseyside in 1980-1 assessed using the Rutter parent and teacher behaviour questionnaires and the Conner modification of the Rutter teacher questionnaire. Children attending normal schools were assessed with controls matched for age, sex, and class in school. Children attending special schools were assessed unmatched. SUBJECTS--233 matched case-control pairs attending normal primary schools and 46 unmatched children attending special schools. SETTING--Primary and special schools. MAIN OUTCOME MEASURES--Emotional, conduct, and undifferentiated behaviour disorders and hyperactivity. RESULTS--On the parental questionnaire screen, 36% of the cases and 22% of the controls had a behaviour disorder and on the teacher questionnaire the proportions were 27% and 12% respectively. Hyperactivity was significantly more common among male cases than their controls (21% v 5.0%) but differed little among female cases and controls (9% v 7%). CONCLUSIONS--Improving neonatal survival of low birthweight infants is accompanied by a higher prevalence of behaviour disorders. The long term implications for psychiatric morbidity and other adult disease must be monitored.
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- Alberman E., Botting B. Trends in prevalence and survival of very low birthweight infants, England and Wales: 1983-7. Arch Dis Child. 1991 Nov;66(11):1304–1308. doi: 10.1136/adc.66.11.1304. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Conners C. K. A teacher rating scale for use in drug studies with children. Am J Psychiatry. 1969 Dec;126(6):884–888. doi: 10.1176/ajp.126.6.884. [DOI] [PubMed] [Google Scholar]
- Cooke R. W. Trends in preterm survival and incidence of cerebral haemorrhage 1980-9. Arch Dis Child. 1991 Apr;66(4 Spec No):403–407. doi: 10.1136/adc.66.4_spec_no.403. [DOI] [PMC free article] [PubMed] [Google Scholar]
- EISENBERG L. Psychiatric implications of brain damage in children. Psychiatr Q. 1957 Jan;31(1):72–92. doi: 10.1007/BF01568709. [DOI] [PubMed] [Google Scholar]
- Escobar G. J., Littenberg B., Petitti D. B. Outcome among surviving very low birthweight infants: a meta-analysis. Arch Dis Child. 1991 Feb;66(2):204–211. doi: 10.1136/adc.66.2.204. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ghodsian M., Fogelman K., Lambert L., Tibbenham A. Changes in behaviour ratings of a national sample of children. Br J Soc Clin Psychol. 1980 Sep;19(3):247–256. doi: 10.1111/j.2044-8260.1980.tb00351.x. [DOI] [PubMed] [Google Scholar]
- Goodman R., Stevenson J. A twin study of hyperactivity--I. An examination of hyperactivity scores and categories derived from Rutter teacher and parent questionnaires. J Child Psychol Psychiatry. 1989 Sep;30(5):671–689. doi: 10.1111/j.1469-7610.1989.tb00781.x. [DOI] [PubMed] [Google Scholar]
- Hack M., Merkatz I. R., Jones P. K., Fanaroff A. A. Changing trends of neonatal and postneonatal deaths in very-low-birth-weight infants. Am J Obstet Gynecol. 1980 Aug 1;137(7):797–800. doi: 10.1016/0002-9378(80)90888-1. [DOI] [PubMed] [Google Scholar]
- Pharoah P. O., Alberman E. D. Mortality of low birthweight infants in England and Wales 1953 to 1979. Arch Dis Child. 1981 Feb;56(2):86–89. doi: 10.1136/adc.56.2.86. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pharoah P. O., Stevenson C. J., Cooke R. W., Stevenson R. C. Clinical and subclinical deficits at 8 years in a geographically defined cohort of low birthweight infants. Arch Dis Child. 1994 Apr;70(4):264–270. doi: 10.1136/adc.70.4.264. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Powell T. G., Pharoah P. O., Cooke R. W. Survival and morbidity in a geographically defined population of low birthweight infants. Lancet. 1986 Mar 8;1(8480):539–543. doi: 10.1016/s0140-6736(86)90893-7. [DOI] [PubMed] [Google Scholar]
- Rutter M. A children's behaviour questionnaire for completion by teachers: preliminary findings. J Child Psychol Psychiatry. 1967 May;8(1):1–11. doi: 10.1111/j.1469-7610.1967.tb02175.x. [DOI] [PubMed] [Google Scholar]
- Rutter M., Cox A., Tupling C., Berger M., Yule W. Attainment and adjustment in two geographical areas. I--The prevalence of psychiatric disorder. Br J Psychiatry. 1975 Jun;126:493–509. doi: 10.1192/bjp.126.6.493. [DOI] [PubMed] [Google Scholar]
- Rutter M., Tizard J., Yule W., Graham P., Whitmore K. Research report: Isle of Wight Studies, 1964-1974. Psychol Med. 1976 May;6(2):313–332. doi: 10.1017/s003329170001388x. [DOI] [PubMed] [Google Scholar]
- Schachar R., Rutter M., Smith A. The characteristics of situationally and pervasively hyperactive children: implications for syndrome definition. J Child Psychol Psychiatry. 1981 Oct;22(4):375–392. doi: 10.1111/j.1469-7610.1981.tb00562.x. [DOI] [PubMed] [Google Scholar]