Anxiety and Depression Correlates at Age 10 in Children Born Extremely Preterm

Author:

Moore Phoebe S1,Mokrova Irina2ORCID,Frazier Jean A1,Joseph Robert M3,Santos Hudson P4,Dvir Yael1,Hooper Stephen R5,O’Shea T Michael5,Douglass Laurie M3,Kuban Karl C K3

Affiliation:

1. Department of Psychiatry and the Eunice Kennedy Shriver Center, University of Massachusetts Medical School

2. Duke University School of Medicine

3. Boston University School of Medicine

4. School of Nursing, University of North Carolina-Chapel Hill

5. School of Medicine, University of North Carolina-Chapel Hill

Abstract

Abstract Objective  Anxiety and depression rates are known to be elevated in prematurely-born children and adolescents. This prospective study examines demographic, academic, and physical health correlates of anxiety and depression symptoms in a sample of 10-year-old children who were born extremely preterm. Methods  Participants were 889 (51.2% male; 62.3% White) children who were born <28 weeks gestation. Child and family demographic data were collected at birth. When the children were 10, parents (n = 871) and teachers (n = 640) rated the level of anxiety and depression in children through the Child Symptom Inventory-4. Child academic functioning was assessed via the Wechsler Individual Achievement Test-III. Parents completed questionnaires about child academic functioning and physical health issues. Data analyses were conducted with multivariate linear modeling. Results  Level of prematurity was significantly related to both parent and teacher reports of anxiety. Public health insurance and individualized education program (IEP) status were associated with both parent and teacher reports of depression. Hispanic ethnicity, public insurance, IEP status, and asthma were significantly associated with both parent-reported anxiety and depression. Gross motor impairment was associated with parent-reported anxiety and teacher-reported depression. Child obesity was associated with teacher reports of anxiety, while male sex was significantly related to teacher reports of depression. Conclusion  This pattern of findings may suggest hypotheses for future research on models of the development and persistence of anxiety and depression within this particularly vulnerable group of children.

Funder

National Institute of Neurological Disorders and Stroke

National Institute of Child Health and Human Development

NIH ECHO Program

National Institute of Nursing Research

Publisher

Oxford University Press (OUP)

Subject

Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

Reference70 articles.

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5. Anxiety and anxiety disorders in children and adolescents: Developmental issues and implications for DSM-V;Beesdo;Psychiatric Clinics,2009

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