Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term

ObjectivesTo assess neurocognitive function in adults born with low birthweight compared with controls and to explore associations between neurocognitive function and psychopathology in these groups.MethodsIn this prospective cohort study, one group born preterm with very low birthweight (VLBW: birt...

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Main Authors: Siri Weider, Astrid M. W. Lærum, Kari Anne I. Evensen, Solveig Klæbo Reitan, Stian Lydersen, Ann Mari Brubakk, Jon Skranes, Marit S. Indredavik
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1078232/full
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author Siri Weider
Astrid M. W. Lærum
Astrid M. W. Lærum
Kari Anne I. Evensen
Kari Anne I. Evensen
Kari Anne I. Evensen
Kari Anne I. Evensen
Solveig Klæbo Reitan
Solveig Klæbo Reitan
Stian Lydersen
Ann Mari Brubakk
Jon Skranes
Jon Skranes
Marit S. Indredavik
author_facet Siri Weider
Astrid M. W. Lærum
Astrid M. W. Lærum
Kari Anne I. Evensen
Kari Anne I. Evensen
Kari Anne I. Evensen
Kari Anne I. Evensen
Solveig Klæbo Reitan
Solveig Klæbo Reitan
Stian Lydersen
Ann Mari Brubakk
Jon Skranes
Jon Skranes
Marit S. Indredavik
author_sort Siri Weider
collection DOAJ
description ObjectivesTo assess neurocognitive function in adults born with low birthweight compared with controls and to explore associations between neurocognitive function and psychopathology in these groups.MethodsIn this prospective cohort study, one group born preterm with very low birthweight (VLBW: birthweight <1,500 g, n = 53), one group born small for gestational age at term (SGA: birthweight <10th percentile, n = 63) and one term-born control group (birthweight ≥10th percentile, n = 81) were assessed with neurocognitive tests, diagnostic interviews, and self-report questionnaires at 26 years of age.ResultsThe VLBW group scored significantly below the control group on several neurocognitive measures, including IQ measures, psychomotor speed, verbal fluency, aspects of visual learning and memory, attention, social cognition, working memory and fine motor speed. The SGA group consistently scored at an intermediate level between the VLBW and the control group and had significantly lower scores than controls on Performance IQ and psychomotor speed, including switching. In the VLBW group, associations were found between lower spatial working memory and the presence of anxiety disorders, internalizing and attention problems, and autistic traits. Furthermore, lower Full scale IQ was associated with attention problems when adjusting for sex and parental socioeconomic status.ConclusionAdults born preterm with VLBW or born term SGA displayed neurocognitive difficulties. Spatial working memory was associated with difficulties with attention, anxiety, and social function of VLBW adults. The finding and its clinical applicability should be further explored.
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spelling doaj.art-8cdd703ec2e34f98afbbe9ff1608059b2023-01-18T07:53:28ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-01-011310.3389/fpsyg.2022.10782321078232Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at termSiri Weider0Astrid M. W. Lærum1Astrid M. W. Lærum2Kari Anne I. Evensen3Kari Anne I. Evensen4Kari Anne I. Evensen5Kari Anne I. Evensen6Solveig Klæbo Reitan7Solveig Klæbo Reitan8Stian Lydersen9Ann Mari Brubakk10Jon Skranes11Jon Skranes12Marit S. Indredavik13Department of Psychology, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayChildren’s Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayChildren’s Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, NorwayUnit for Physiotherapy Services, Trondheim Municipality, Trondheim, NorwayDepartment of Physiotherapy, Oslo Metropolitan University, Oslo, NorwayDepartment of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Psychiatry, Division of Mental Health Care, St. Olavs Hospital, Trondheim University Hospital, Trondheim, NorwayDepartment of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayDepartment of Pediatrics, Sørlandet Hospital, Arendal, NorwayDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, NorwayObjectivesTo assess neurocognitive function in adults born with low birthweight compared with controls and to explore associations between neurocognitive function and psychopathology in these groups.MethodsIn this prospective cohort study, one group born preterm with very low birthweight (VLBW: birthweight <1,500 g, n = 53), one group born small for gestational age at term (SGA: birthweight <10th percentile, n = 63) and one term-born control group (birthweight ≥10th percentile, n = 81) were assessed with neurocognitive tests, diagnostic interviews, and self-report questionnaires at 26 years of age.ResultsThe VLBW group scored significantly below the control group on several neurocognitive measures, including IQ measures, psychomotor speed, verbal fluency, aspects of visual learning and memory, attention, social cognition, working memory and fine motor speed. The SGA group consistently scored at an intermediate level between the VLBW and the control group and had significantly lower scores than controls on Performance IQ and psychomotor speed, including switching. In the VLBW group, associations were found between lower spatial working memory and the presence of anxiety disorders, internalizing and attention problems, and autistic traits. Furthermore, lower Full scale IQ was associated with attention problems when adjusting for sex and parental socioeconomic status.ConclusionAdults born preterm with VLBW or born term SGA displayed neurocognitive difficulties. Spatial working memory was associated with difficulties with attention, anxiety, and social function of VLBW adults. The finding and its clinical applicability should be further explored.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1078232/fullexecutive functionmental healthpsychiatric symptoms and disorderspreterm birthworking memoryintelligence
spellingShingle Siri Weider
Astrid M. W. Lærum
Astrid M. W. Lærum
Kari Anne I. Evensen
Kari Anne I. Evensen
Kari Anne I. Evensen
Kari Anne I. Evensen
Solveig Klæbo Reitan
Solveig Klæbo Reitan
Stian Lydersen
Ann Mari Brubakk
Jon Skranes
Jon Skranes
Marit S. Indredavik
Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term
Frontiers in Psychology
executive function
mental health
psychiatric symptoms and disorders
preterm birth
working memory
intelligence
title Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term
title_full Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term
title_fullStr Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term
title_full_unstemmed Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term
title_short Neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term
title_sort neurocognitive function and associations with mental health in adults born preterm with very low birthweight or small for gestational age at term
topic executive function
mental health
psychiatric symptoms and disorders
preterm birth
working memory
intelligence
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1078232/full
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