Premature babies have greater risk of serious mental illness

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Preterm babies are three times more likely to be admitted to hospital for a mental health problem as an adult than normal term babies, according to a study published in the Archives of General Psychiatry by researchers in the UK and Sweden.

About 1 in every 13 children born in the UK are classified as premature and this study shows that up to 6% of this population will go on to experience a serious mental health condition.

The cohort study is one of the largest ever published that explores the effects that birth complications have on mental health.

Researchers analysed data from the Swedish medical birth register by finding babies born between 1973 and 1985 who were still living in Sweden. They then reviewed hospital discharge records to see which people in the 1.3 million sample had been admitted to hospital for a mental health problem as an adult.

The researchers used hazard ratios (PDF definition) to explain how likely people were to experience future health problems.

Here’s what they found:

  • Babies born <32 weeks had hazard ratios for hospitalisation of:
    • 7.4 (95% confidence interval 2.7 to 20.6) for bipolar disorder
    • 2.9 for depression (1.8 to 4.6)
    • 2.5 for psychosis (1 to 6)
    • 3.5 for eating disorders (1.3 to 9.6)
  • Babies born 32-36 weeks had hazard ratios for hospitalisation of:
    • 2.7 for bipolar disorder (1.6 to 4.5)
    • 1.6 for psychosis (1.1 to 2.3)
    • 1.3 for depression (1.1 to 1.7)

Lead author Chiara Nosarti said:

We believe that the increased risk of mental disorders in those born very prematurely can be explained by subtle changes in brain development.

The immature nervous system in those born prematurely is particularly vulnerable to neonatal brain injury resulting from birth complications.

The research team have recommended that children at risk should be screened for mental health problems when they reach the age of five. They also stress that a second stage of monitoring at a later age may help to identify problems in this population.

Link

Nosarti C, Reichenberg A, Murray RM, Cnattingius S, Lambe MP, Yin L et al. Preterm birth and psychiatric disorders in young adult life. Arch Gen Psych 2012; 69: 610-7.

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André Tomlin

André Tomlin
André started the Mental Elf website in May 2011. He has worked as an Information Scientist in Mental Health since the late nineties; initially at Oxford University's Centre for Evidence-Based Mental Health and since 2002 as the Managing Director of Minervation Ltd. He loves blogging, social media and elves! He also has established interests in evidence-based healthcare, usability testing and web design.

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