Preterm birth and behaviour problems in infants and preschool-age children: a review of the recent literature

Dev Med Child Neurol. 2013 Sep;55(9):788-96. doi: 10.1111/dmcn.12142. Epub 2013 Mar 21.

Abstract

The behaviour problems of children born preterm at school age are well known, but there have been few studies on the behaviour problems of preterm-born infants during infancy and at preschool age. Fourteen cohort studies published in PubMed and PsycINFO between 2000 and 2012 were reviewed with a focus on the type, occurrence, comorbidity, stability, prediction, perinatal, social, and relational risk factors for behaviour problems of preterm-born children in infancy (0-2y) and at preschool age (3-5y). The relational risk factor was considered in an additional four papers. Very-preterm, very-low-birthweight, and moderately-preterm children, in both age groups, show more behaviour problems than term-born comparison children even after perinatal and social risk factors and cognitive performance have been controlled for. Poor social/interactive skills, poor behavioural and emotional self-regulation, emotional difficulties, and reduced attention are the most common behaviour problems. Behaviour problems in infancy are predictive of later behaviour problems and they should be included in follow-up programmes.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child Behavior Disorders / epidemiology*
  • Child Behavior Disorders / etiology*
  • Child Behavior Disorders / psychology
  • Child, Preschool
  • Confounding Factors, Epidemiologic
  • Female
  • Gestational Age*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Peer Group
  • Premature Birth*
  • Psychomotor Agitation / epidemiology
  • Psychomotor Agitation / etiology
  • Risk Factors
  • Social Behavior