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Adolescents Born Extremely Preterm. Cognitive, Behavioural and Relational Outcomes

Hallin, Anne-Li LU (2010)
Abstract
The aim of this thesis was to evaluate long-term outcomes in a regional cohort of adolescents born extremely preterm (before the 29th gestational week) and compare them to full-term born controls. Fifty-two prematurely and 54 full-term born individuals were recruited from a follow-up study at 10 years of age. The participant rate was 85 % from the prematurely born group and 89 % from the full-term born group. A multifaceted approach was used and cognition, somatic and mental health, academic achievement, behaviour, social support and attachment were investigated, predominantly with emphasis on the adolescents’ self-perceived experiences. The results showed that the prematurely born performed more poorly than the controls regarding... (More)
The aim of this thesis was to evaluate long-term outcomes in a regional cohort of adolescents born extremely preterm (before the 29th gestational week) and compare them to full-term born controls. Fifty-two prematurely and 54 full-term born individuals were recruited from a follow-up study at 10 years of age. The participant rate was 85 % from the prematurely born group and 89 % from the full-term born group. A multifaceted approach was used and cognition, somatic and mental health, academic achievement, behaviour, social support and attachment were investigated, predominantly with emphasis on the adolescents’ self-perceived experiences. The results showed that the prematurely born performed more poorly than the controls regarding cognitive function and flexibility; they had significantly poorer results when measuring school achievement and less often chose theoretical programmes in secondary upper school; they were shorter, weighed less and experienced more often hearing problems; they reported fewer social contacts and showed a higher frequency of insecure attachment organization. Furthermore the prematurely born showed less risk-taking behaviour and a lesser amount of delinquent and aggressive behaviour. However, no difference was obtained between the two groups regarding satisfaction with their social support; attention problems; future expectations; perceived quality of life; emotional well-being. Conclusively; cognitive problems seem to persist into late adolescence in the group of prematurely born. Furthermore, they seem to describe lesser risk-taking behaviour and appear to be at a greater risk of developing an insecure attachment organization as well as establishing fewer social contacts. Nevertheless, in several aspects such as mental health and self-perceived quality of life, the prematurely born seem to function as well as full-term peers. (Less)
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author
supervisor
opponent
  • Professor Hwang, Philip, Department of Psychology, University of Gothenburg
organization
publishing date
type
Thesis
publication status
published
subject
keywords
health, attachment, behaviour, extremely preterm, Adolescents, social support, cognition
pages
157 pages
defense location
Palaestra nedre sal, Paradisgatan 2, Lund
defense date
2010-09-17 10:15
ISBN
978-91-978718-4-6
language
English
LU publication?
yes
id
ad9922e8-dd1c-4db7-976c-acdc3ac8de20 (old id 1652838)
date added to LUP
2010-08-13 13:12:48
date last changed
2016-09-19 08:45:18
@misc{ad9922e8-dd1c-4db7-976c-acdc3ac8de20,
  abstract     = {The aim of this thesis was to evaluate long-term outcomes in a regional cohort of adolescents born extremely preterm (before the 29th gestational week) and compare them to full-term born controls. Fifty-two prematurely and 54 full-term born individuals were recruited from a follow-up study at 10 years of age. The participant rate was 85 % from the prematurely born group and 89 % from the full-term born group. A multifaceted approach was used and cognition, somatic and mental health, academic achievement, behaviour, social support and attachment were investigated, predominantly with emphasis on the adolescents’ self-perceived experiences. The results showed that the prematurely born performed more poorly than the controls regarding cognitive function and flexibility; they had significantly poorer results when measuring school achievement and less often chose theoretical programmes in secondary upper school; they were shorter, weighed less and experienced more often hearing problems; they reported fewer social contacts and showed a higher frequency of insecure attachment organization. Furthermore the prematurely born showed less risk-taking behaviour and a lesser amount of delinquent and aggressive behaviour. However, no difference was obtained between the two groups regarding satisfaction with their social support; attention problems; future expectations; perceived quality of life; emotional well-being. Conclusively; cognitive problems seem to persist into late adolescence in the group of prematurely born. Furthermore, they seem to describe lesser risk-taking behaviour and appear to be at a greater risk of developing an insecure attachment organization as well as establishing fewer social contacts. Nevertheless, in several aspects such as mental health and self-perceived quality of life, the prematurely born seem to function as well as full-term peers.},
  author       = {Hallin, Anne-Li},
  isbn         = {978-91-978718-4-6},
  keyword      = {health,attachment,behaviour,extremely preterm,Adolescents,social support,cognition},
  language     = {eng},
  pages        = {157},
  title        = {Adolescents Born Extremely Preterm. Cognitive, Behavioural and Relational Outcomes},
  year         = {2010},
}