Mental health outcomes of adults born very preterm or with very low birth weight : a systematic review
Robinson, Rachel; Lahti-Pulkkinen, Marius; Schnitzlein, Daniel; Voit, Falk; Girchenko, Polina; Wolke, Dieter; Lemola, Sakari; Kajantie, Eero; Heinonen, Kati; Räikkönen, Katri (2020-04-28)
Rachel Robinson, Marius Lahti-Pulkkinen, Daniel Schnitzlein, Falk Voit, Polina Girchenko, Dieter Wolke, Sakari Lemola, Eero Kajantie, Kati Heinonen, Katri Räikkönen, Mental health outcomes of adults born very preterm or with very low birth weight: A systematic review, Seminars in Fetal and Neonatal Medicine, Volume 25, Issue 3, 2020, 101113, ISSN 1744-165X, https://doi.org/10.1016/j.siny.2020.101113
© 2020 Published by Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
https://creativecommons.org/licenses/by-nc-nd/4.0/
https://urn.fi/URN:NBN:fi-fe2020092475667
Tiivistelmä
Abstract
Preterm birth research is poised to explore the mental health of adults born very preterm(VP; <32⁺⁰ weeks gestational age) and/or very low birth weight(VLBW; <1500g) through individual participant data meta-analyses, but first the previous evidence needs to be understood. We systematically reviewed and assessed the quality of the evidence from VP/VLBW studies with mental health symptoms or disorders appearing in adulthood, excluding childhood onset disorders. Participants (≥18 years, born >1970) included VP/VLBW individuals with controls born at term(≥37⁺⁰ weeks) or with normal birth weight(NBW; ≥2500g). Thirteen studies were included. Studies consistently showed an increased risk for psychotropic medication use for VP/VLBW adults in comparison to NBW/term controls, but whether VP/VLBW adults have an increased risk for mental health disorders or symptoms appearing in adulthood remains uncertain. The quality of the evidence was moderate (65.8%) to high (34.2%). Further research in larger samples is needed.
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