Psychiatric disorders in individuals born very preterm / very low-birth weight : an individual participant data (IPD) meta-analysis
Anderson, Peter J.; de Miranda, Debora Marques; Albuquerque, Maicon Rodrigues; Indredavik, Marit Sæbø; Evensen, Kari Anne I.; Van Lieshout, Ryan; Saigal, Saroj; Taylor, H. Gerry; Räikkönen, Katri; Kajantie, Eero; Marlow, Neil; Johnson, Samantha; Woodward, Lianne J.; Austin, Nicola; Nosarti, Chiara; Jäkel, Julia; Wolke, Dieter; Cheong, Jeanie L. Y.; Burnett, Alice; Treyvaud, Karli; Lee, Katherine J.; Doyle, Lex W. (2021-11-27)
Peter J Anderson, Debora Marques de Miranda, Maicon Rodrigues Albuquerque, Marit Sæbø Indredavik, Kari Anne I. Evensen, Ryan Van Lieshout, Saroj Saigal, H. Gerry Taylor, Katri Raikkonen, Eero Kajantie, Neil Marlow, Samantha Johnson, Lianne J. Woodward, Nicola Austin, Chiara Nosarti, Julia Jaekel, Dieter Wolke, Jeanie LY Cheong, Alice Burnett, Karli Treyvaud, Katherine J Lee, Lex W Doyle, Psychiatric disorders in individuals born very preterm / very low-birth weight: An individual participant data (IPD) meta-analysis, eClinicalMedicine, Volume 42, 2021, 101216, ISSN 2589-5370, https://doi.org/10.1016/j.eclinm.2021.101216
© 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND 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-fe2022021018522
Tiivistelmä
Abstract
Background: Data on psychiatric disorders in survivors born very preterm (VP; <32 weeks) or very low birthweight (VLBW; <1500 g) are sparse. We compared rates of psychiatric diagnoses between VP/VLBW and term-born, normal birthweight (term/NBW) control participants.
Methods: This individual participant data (IPD) meta-analysis pooled data from eligible groups in the Adults born Preterm International Collaboration (APIC). Inclusion criteria included: 1) VP/VLBW group (birth weight <1500 g and/or gestational age <32 weeks), 2) normal birth weight/term-born control group (birth weight >2499 g and/or gestational age ≥37 weeks), and 3) structured measure of psychiatric diagnoses using DSM or ICD criteria. Diagnoses of interest were Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Anxiety Disorder, Mood Disorder, Disruptive Behaviour Disorder (DBD), Eating Disorder, and Psychotic Disorder. A systematic search for eligible studies was conducted (PROSPERO Registration Number 47555).
Findings: Data were obtained from 10 studies (1385 VP/VLBW participants, 1780 controls), using a range of instruments and approaches to assigning diagnoses. Those born VP/VLBW had ten times higher odds of meeting criteria for ASD (odds ratio [OR] 10·6, 95% confidence interval [CI] 2·50, 44·7), five times higher odds of meeting criteria for ADHD (OR 5·42, 95% CI 3·10, 9·46), twice the odds of meeting criteria for Anxiety Disorder (OR 1·91, 95% CI 1·36, 2·69), and 1·5 times the odds of meeting criteria for Mood Disorder (OR 1·51, 95% CI 1·08, 2·12) than controls. This pattern of findings was consistent within age (<18 years vs. ≥18 years) and sex subgroups.
Interpretation: Our data suggests that individuals born VP/VLBW might have higher odds of meeting criteria for certain psychiatric disorders through childhood and into adulthood than term/NBW controls. Further research is needed to corroborate our results and identify factors associated with psychiatric disorders in individuals born VP/VLBW.
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