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Attention Difficulties in a Contemporary Geographic Cohort of Adolescents Born Extremely Preterm/Extremely Low Birth Weight

Published online by Cambridge University Press:  19 September 2013

Michelle Wilson-Ching ,
Carly S. Molloy ,
Vicki A. Anderson ,
Alice Burnett ,
Gehan Roberts ,
Jeanie L.Y. Cheong ,
Lex W. Doyle  and
Peter J. Anderson
Michelle Wilson-Ching*
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Research Office, Royal Women's Hospital, Melbourne, Victoria
Carly S. Molloy
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Research Office, Royal Women's Hospital, Melbourne, Victoria
Vicki A. Anderson
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Department of Paediatrics, University of Melbourne, Melbourne, Victoria Psychological Service, Royal Children's Hospital, Melbourne, Victoria
Alice Burnett
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Research Office, Royal Women's Hospital, Melbourne, Victoria
Gehan Roberts
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Research Office, Royal Women's Hospital, Melbourne, Victoria Department of Paediatrics, University of Melbourne, Melbourne, Victoria
Jeanie L.Y. Cheong
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Research Office, Royal Women's Hospital, Melbourne, Victoria Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria
Lex W. Doyle
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Research Office, Royal Women's Hospital, Melbourne, Victoria Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria
Peter J. Anderson
Affiliation:
Critical Care and Neurosciences, Murdoch Childrens Research Institute, Melbourne, Victoria Research Office, Royal Women's Hospital, Melbourne, Victoria Department of Paediatrics, University of Melbourne, Melbourne, Victoria
*
Correspondence and reprint requests to: Michelle Wilson-Ching, Victorian Infant Brain Studies, Murdoch Childrens Research Institute, Royal Children's Hospital, Flemington Road, Parkville, Victoria, Australia, 3052. E-mail: mwilsonch@gmail.com
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Abstract

The aim of this study was to evaluate attention difficulties in a contemporary geographic cohort of adolescents born extremely preterm (EP, <28 weeks’ gestation) or extremely low birth weight (ELBW, birth weight <1000 g). The EP/ELBW group included 228 adolescents (mean age = 17.0 years) born in Victoria, Australia in 1991 and 1992. The control group were 166 adolescents (mean age = 17.4 years) born of normal birth weight (birth weight >2499 g) who were recruited in the newborn period and matched to the EP/ELBW group on date of birth, gender, language spoken and health insurance status. Participants were assessed on measures of selective, sustained, and executive (shift and divided) attention, and parents and participants completed behavioral reports. The EP/ELBW group performed more poorly across tests of selective and executive attention, had greater rates of clinically significant difficulties compared with the control group, and also had greater behavioral attention problems as reported by parents. Neonatal risk factors were weakly associated with attention outcomes. In conclusion, higher rates of attention impairments are observed in individuals born EP/ELBW well into adolescence and may have consequences for their transition to adulthood. (JINS, 2013, 19, 1–12)

Keywords

Attention deficit/hyperactivity disorderAdolescent behaviorCognitionPreterm birthLong-term outcomesImpairment
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 10 , November 2013 , pp. 1097 - 1108
Copyright
Copyright © The International Neuropsychological Society 2013 

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